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(physician’s name) Address: _________________________________________________________ _________________________________________________________ I, the undersigned physician, give my permission for the foster parents to administer the following over-the-counter medications to: ______________________________________________DOB:_______________ (Child’s name) Type of Drug: Examples: __As directed on packaging ____Antacids and Acid Reducers Tums,Rolaids;generic; or ___________________ or ___________________ Femstat 3, Gyne-Lotrimin, Mycelrx-7, Monistat __As directed on packaging ____Anticandial 3, 7, and Vagistat-1; or ___________________ or ___________________ Actifed, Benadryl,Claritin, Chlor-Trimeton, __As directed on packaging ____Antihistamines Contac, Drixoral,Nyquil, Sudafed, Tavist-1, and or ___________________ Triaminic,generic; or ___________________ Ex-Lax, Pepto-Bismol, Immodium A.D. and __As directed on packaging ____Antidiarrheal and Laxatives Kaopectate; or ___________________ or ___________________ ____Anti-fungal Lamisil AT, Lotramin AF, and Micatin; __As directed on packaging or ___________________ or ___________________ Bactine, Caldecort, Cortaid, Hydrocortisone, ____Anti-itch lotions and creams (e.g., and Lanacort,Calamine Lotion, Benadryl Cream, __As directed on packaging for athletes foot, jock itch, bug Caladryl, Cortaid,Lamisil AT, Lotramin AF, and or ___________________ bites, poison ivy) Micatin; or ___________________ Robitussin, Vicks 44, Chloraseptic; __As directed on packaging ____Cough Suppressants or ___________________ or ___________________ Abreva Cream, Carmex; or __As directed on packaging ____Cold Sore/Fever Blister ___________________ or ___________________ Advil Cold and Sinus, Afrin, Afrinol, Aleve Cold and Sinus,Children’s Advil Cold, Duration, Dristan Long Lasting,Neo-Synephrine- 12 Hour, Orrivin, Sudafed,Tavist-D,Tylenol Cold and ____Decongestant/ Nasal Flue, Thera-flu, Alka Seltzer Cold and Flu, __As directed on packaging Decongestant and Cold Remedies Nyquil, Actidil Syrup and Capsules, Actifed, or ___________________ Allerest,Benadryl, Claritin, Chlor-Trimeton, Contac, Dimetane,Drixoral, Sudafed, Tavist-1, and Triaminic; or __________________ __As directed on packaging ____Eye Drops for Allergy/Cold Relief Ocu Hist; or ___________________ or ___________________ Advil, Aleve, Children’s Motrin, Nuprin, __As directed on packaging ____Internal Analgesic/antipyretic Excedrin, Tylenol and Bayer; or or ___________________ ___________________ BenGay, Tiger Balm and Flexall; or __As directed on packaging ____Liniments __________________ or ___________________ Midol, Pamprin, and Premysyn PMS; __As directed on packaging ____Menstrual Cycle Medications or ___________________ or ___________________ ____Migraine Advil Migraine Liqui-gels, Excedrin Migraine, __As directed on packaging MotrinMigraine Pain, or ___________________ or ___________________ __As directed on packaging ____Pediculicide (head lice) Nix; RID; or ___________________ or ___________________ ____Toothache and teething pain __As directed on packaging Orajel; or ___________________ relievers or ___________________ ____Wart removal medications Compound W; Tinamed or __As directed on packaging ___________________ or ___________________ Physician Signature: ________________________________________________ Please print or type: ________________________________________________ (physician’s name) Address:_________________________________________________________ Phone: __________________________________________________________
How Chicago execs are transforming schools — and students, tooDuring Jim Hoeg's first assignment as a volunteer with the Big Shoulders Fund Stock Market Project, heasked eighth-graders for ideas on how to pick stocks. The first hands that went up gave the answers you'd expect, he says. “I like candy bars, so I'd buy Hershey'sstock. And I like cheese, so I'd buy Kraft,” recalls the portfo
Basic Requirements for Blood Donation• Must be at least 18 years of age or 16 or 17 with written parental or guardian consent. • Weigh at least 110 pounds; if greater than 350 pounds, please call Bonfils’ Appointment Center at 303.363.2300 or 800.365.0006, opt. 2. • Please drink plenty of fluids throughout the day and eat a healthy low-fat meal four hours prior to your donation. • Be