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AUTHORIZATION FOR NON-PRESCRIPTION OVER-THE-COUNTER SKIN PRODUCTS

This form must be completed by the parent/guardian to authorize the use of:
Sunscreen, Diaper ointment or cream, Insect repellent

All OTC products must:

• Be in the original container and, if provided by the parent, labeled with the child's name.

• Be used according to manufacturer's recommendation and instructions for application.

• Not be used beyond the expiration date of the product.