Background:
The Ohio Department of Job and Family Services (ODJFS) has
revised the prescription pad sample forms to update the documents to align with
rule 5101:2-12-25 of the OAC.
The following forms have been revised:
- JFS 01580 “Your Prescription For Safely
Administering Prescription Medication” has been revised to add a Certified
Physician’s Assistant as a party that can complete Box 2 of the JFS 01217.
- JFS 01581 “Your Prescription For Safely
Administering Non-Prescription Medication” has been revised to add a Certified
Physician’s Assistant as a party that can complete Box 2 of the JFS 01217.
- JFS 01582 “Your Prescription For Safely Caring
For Children With Special Health Conditions” has been revised with minor
grammar changes and to clarify that the administrator must also sign the form.
- JFS 01583 “Your Prescription For Safely Caring
For Children With Medication And Health Care Needs On Field Trips” has been revised
with minor grammar changes.
Child care programs are not required to use these forms but may
use them as a checklist to ensure all medication administration requirements
are met.
Please contact the Child Care Policy Helpdesk at 1-877-302-2347,
option 4, if you have any questions.