Scout Name:_______________________________

September 2003 BSA Troop 457

PARENT CONSENT FOR MEDICATIONS AND EMERGENCIES

Please indicate with a yes or no which mediations you wish your child be given as the circumstances call for:

 ____ Ointment for minor wound care, first aid, as needed.

            (antiseptic, anti-itch, anti-sting, antibiotic, sunburn)

_____Tylenol: as directed on the bottle, for age/weight

_____Ibuprofen: as directed on the bottle, for age/weight

_____Throat lozenges as needed for sore throat.

_____Mylanta for nausea as needed per directions on bottle

_____Benadryl 25mg for swelling, hives, allergic reactions

_____Sting-Ease swabs for insect stings.

_____Hydrocortisone 1% for rashes, poison ivy and bug bites

_____Imodium AD (loperamide 2mg) for diarrhea

Restrictions or allergies to medications____________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I understand that such administration will be done under the supervision of the  Adult Leaders in charge at the time.  I also agree that any first-aid treatment may be given as needed.

Parent/Guardian Signature______________________________________

Date   ___/___/___