16-04 Annex C - OTC (Over the Counter)/Prescribed Medication Administration

Cadet Administrative and Training Orders (CATOs)

1. Identification of cadet:

[Full name and initials, unit and date of birth]

2. I, [parent/guardian/physician] give consent for this cadet to use over-the-counter (OTC) or prescription medications for known conditions.

3. I am aware that supervisor and medical staff will secure medication and make  it available to the cadet at the prescribed time and they are available should the cadet have questions or concerns regarding medication.

4. Medication and quantity brought by the cadet :

1. Name of drug : 
   Dosage : 
   Administration time : 
   Total quantity : 
2. Name of drug : 
   Dosage : 
   Administration time : 
   Total quantity : 
3. Name of drug : 
   Dosage : 
   Administration time : 
   Total quantity : 
4. Name of drug : 
   Dosage : 
   Administration time : 
   Total quantity : 

Note:  The medication needs to be in the original package or (if possible) blister packed.