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Medication Notification Agreement



I,______________________________________________, agree to notify Ashante Oliver each time my child had been medicated or receives a treatment before coming to daycare. I will inform the facility of the name of the medication and the time it was given.



Child's Name ___________________________________________



Parent's Signature ____________________________________________         Date _________________






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Ashante 315-214-1995
childcare@magicsitter.com
East Syracuse, New York

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