Medication Authorisation Form

About the Medication Authorisation Form

A digital medication authorisation form that allows parents to provide written consent and detailed instructions for the administration of prescribed medication to their child while in care. Designed to meet the requirements of Regulations 92 and 93 of the Education and Care Services National Regulations. This form captures medication name, dosage, method of administration, schedule, previous administration details, and the parent's signed declaration.

Also called

Medication permission form
Medication consent form
Authority to administer medication
Childcare medication form

What's on this form

Every question included in the medication authorisation form. Add, remove or reword any of them in the form builder.

Form questions

Child Details
Child details
Medication Details
Name of Medication
Short answer
Dosage to be Administered
Short answer
Method Of Administration
Short answer
Specific Instructionsoptional
Long answer
Administration Schedule
First Date of Medication Administration
Date
Last Date of Medication Administration
Date
First Time of Medication Administration
Time
Second Time of Medication Administration (If Applicable)optional
Time
Previously Administered
Last Date of Administration
Date
Last Time of Administration
Time
Who previously administered this medication?
Short answer
I confirm that the medication is previously administered at the same time (as stated above) every day from the start date (as stated above) and on any occasion that it is not, I will inform the service immediately in writing via email.
I hereby declare that the above information is correct in regards to the management of administering prescribed medication for my child. I will inform the service of any changes to the above information and update the form accordingly.
Parent/Guardian Signature
Signature

Australian regulations this form supports

The medication authorisation form is built around the Education and Care Services National Regulations. These are the regulations it helps you meet.

Reg 92

Medication record

A medication record must include the child's name, authorisation, medication name, dosage, time administered, and signature of the person who administered it.

Read the full text of Reg 92

(1) The approved provider of an education and care service must ensure that a medication record is kept that includes the details set out in subregulation (3) for each child to whom medication is or is to be administered by the service. (2) A family day care educator must keep a medication record that includes the details set out in subregulation (3) for each child being educated and cared for by the educator as part of a family day care service to whom medication is or is to be administered. (3) The details to be recorded are— (a) the name of the child; (b) the authorisation to administer medication (including, if applicable, self-administration), signed by a parent or a person named in the child's enrolment record as authorised to consent to administration of medication; (c) the name of the medication to be administered; (d) the time and date the medication was last administered; (e) the time and date, or the circumstances under which, the medication should be next administered; (f) the dosage of the medication to be administered; (g) the manner in which the medication is to be administered; (h) if the medication is administered to the child— (i) the dosage that was administered; and (ii) the manner in which the medication was administered; and (iii) the time and date the medication was administered; and (iv) the name and signature of the person who administered the medication; and (v) if another person is required under regulation 95 to check the dosage and administration, the name and signature of that person.

Reg 93

Administration of medication

Medication must not be administered unless authorised and administered in accordance with regulations. Written notice must be given to parents.

Read the full text of Reg 93

(1) The approved provider of an education and care service must ensure that medication is not administered to a child being educated and cared for by the service unless— (a) that administration is authorised; and (b) the medication is administered in accordance with regulation 95 or 96. (2) The approved provider of an education and care service must ensure that written notice is given to a parent or other family member of a child as soon as practicable, if medication is administered to the child under an authorisation referred to in subregulation (5)(b). (3) A nominated supervisor of an education and care service must ensure that medication is not administered to a child being educated and cared for by the service unless— (a) that administration is authorised; and (b) the medication is administered in accordance with regulation 95 or 96. (4) A family day care educator must ensure that medication is not administered to a child being educated and cared for by the educator as part of a family day care service unless— (a) that administration is authorised; and (b) the medication is administered in accordance with regulation 95 or 96. (5) In this regulation the administration of medication to a child is authorised if an authorisation to administer the medication— (a) is recorded in the medication record for that child under regulation 92; or (b) in the case of an emergency, is given verbally by— (i) a parent or a person named in the child's enrolment record as authorised to consent to administration of medication; or (ii) if a parent or person named in the enrolment record cannot reasonably be contacted in the circumstances, a registered medical practitioner or an emergency service.

Provided for information only and may not reflect the latest amendments. Refer to the Education and Care Services National Regulations (NSW) for the official legal text.

Where this form fits

The medication authorisation form is part of these jobs — each guide walks through the whole sequence and the other forms that go with it.

Forms parents and guardians fill in

Every form you send out to families — enrolment, permissions, collection arrangements, medication authority and feedback.

Questions about the medication authorisation form

What is the medication authorisation form used for?

Who fills in the medication authorisation form?

The medication authorisation form is completed by a parent or guardian. You send them a secure link by email or SMS — they don't need an account, an app, or a password to fill it in and sign.

Which Australian regulations does the medication authorisation form meet?

It is built around Reg 92 and Reg 93 of the Education and Care Services National Regulations. Reg 92 covers medication record. Reg 93 covers administration of medication. Every question the regulations require is already on the form.

Is the medication authorisation form the same as a medication permission form?

Yes. Different services use different names for this form — it is also called medication permission form, medication consent form, authority to administer medication and childcare medication form. They all describe the same record, and this template covers it. You can rename it to whatever your service already calls it.

Can I change the questions on the medication authorisation form?

Yes. The template comes with 18 fields ready to go, but you can add, remove, reword or reorder anything in the drag-and-drop form builder, and add your own conditional logic and signing steps. Your changes only affect your service's copy.

Is the medication authorisation form free?

Yes — the medication authorisation form is free to use on the Childcare Forms free plan. No credit card is required to create an account and start sending it.