MedsKCC MedicationCampers NameFill in this form for one camper onlyParents/Guardians NameRelationship to CamperPhoneEmail Section BreakName of Medication #1As written on packetAmount of Medication #15 ml or 10 mgAdminister #1 When Needed (Camper will ask) Before Breakfast Breakfast After breakfast Morning Tea (10-11am) Before Lunch Lunch After Lunch Afternoon Tea (2-4pm) Before Dinner Dinner After Dinner Before Bedtime (~1hr) Bedtime OtherOther #1Comments re Medication #1Section BreakName of Medication #2As written on packetAmount of Medication #25 ml or 10 mgAdminister #2 When Needed (Camper will ask) Before Breakfast Breakfast After breakfast Morning Tea (10-11am) Before Lunch Lunch After Lunch Afternoon Tea (2-4pm) Before Dinner Dinner After Dinner Before Bedtime (~1hr) Bedtime OtherOther #2Comments re Medication #2Section BreakName of Medication #3As written on packetAmount of Medication #35 ml or 10 mgAdminister #3 When Needed (Camper will ask) Before Breakfast Breakfast After breakfast Morning Tea (10-11am) Before Lunch Lunch After Lunch Afternoon Tea (2-4pm) Before Dinner Dinner After Dinner Before Bedtime (~1hr) Bedtime OtherOther #3Comments re Medication #3
