Care Permissions Form

No medication shall be given by a Trusting Connections employee without written permission of the parent or legal guardian. All prescription medication must be in the original container with the child’s name, name of the physician, medication name, and medication directions written on the label. Trusting Connections Employees may not administer personal medication; only medication provided by the family may be given to the children.

Written permission must be given for a Trusting Connections employee to transport children. The employee is required to observe all safety regulations including seat belt and proper car seat use. If the employee uses her own vehicle for on-the-job driving, she will be reimbursed at the national standard rate. Any mileage charges accrued will be noted on the client’s receipt. Employees are not permitted to install car seats into any vehicle other than their own. If a family vehicle is provided, all car seats must be installed by the client. Verbal consent will not be accepted.

Our nannies have many special moments with children throughout their careers with our agency and we would love to use/share images captured by our nannies with your permission. Please indicate below if we have permission to use your child’s photograph publicly to promote our agency. The images may be used in print publications, online publications, presentations, websites, and social media. No royalty, fee or other compensation shall become payable to the client by reason of such use. Please know that TC employees are STRICTLY prohibited from taking photos of clients' children without permission. Please indicate your preference below.

Some of our families prefer that our caregivers release the children to an older sibling or younger babysitter at the end of the shift. In order to do this, we need written permission. Please choose one of the following options.