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Consent for Administering Prescription Medicines

We here by authorize Vivaan adult staff member to administer the following prescription medicines to our child.

These medicines are prescribed by a physician/specialist.....(Initial)

We also authorize Vivaan to procure generic equivalent to above medicines and administer to our child.

This is consent is valid till we submit another revised consent form.

Vivaan is not liable for any consequences, that arise out of administering these medicines to our child.