Poway, CA · San Diego County
Medication Release Form
Parents or guardians complete this form to request that Lake Poway Day Camp staff administer prescribed medication to a child attending camp.
What this form is
This form lets a parent or guardian request that Lake Poway Day Camp staff administer prescribed medication to a child during camp. It asks for the child’s name, medication details, prescribing physician’s information and signature, and the parent or guardian’s signature. The form says all medication must be prescribed, properly labeled, and provided with the physician’s signature; additional forms are required for Epi-Pens and inhalers.
Who needs it
A parent or guardian should complete this form if a child attending Lake Poway Day Camp needs staff to administer prescribed medication.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the prescribing physician and parent or guardian sign and date the form.
How to submit this form
- 1
Download The Form
Download the Medication Release Form for a child attending Lake Poway Day Camp.
- 2
Complete The Form
Provide the child’s information, medication directions, prescribing physician’s details, and parent or guardian signature.
- 3
Gather Additional Forms
For an Epi-Pen or inhaler, complete the additional forms available on the Lake Poway Day Camp website.
- 4
Submit To The City
Submit the form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Medication Release Form?
- No. The form calls for the prescribing physician’s signature and date, and the parent or guardian’s signature and date; it does not require a notary.
- Who completes the Medication Release Form?
- A parent or guardian completes the form to request that Lake Poway Day Camp staff administer prescribed medication to their child.
- What information does the form ask for?
- It asks for the child’s name, medication, dosage, timing, notes or possible reactions, and prescribing physician details and signature. The parent or guardian also signs and dates it.
- How do I submit the Medication Release Form?
- The document does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Medication Release Form doesn’t need a notary — but if you have another Poway form that does, a commissioned online notary can help.