Permission to administer medication in school from September 2022. 
The school will not give your child medication or supervise them taking it themselves unless you complete this form.  The school or education setting has a policy for staff to administer medication.

We expect you to notify us first thing in the morning if your child has all ready had any medication before attending school.

School staff, who have received appropriate training, will be covered by indemnity as set out in KCC guidance (section 10 paragraph 2:1 & 5:2 Supporting pupils with medical needs).

We will take this permission for the duration of the specific medication and will not be used once they have finished.
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Child`s Name *
Child's class *
Name of medication to be administered *
Date first dosage to be given. *
MM
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DD
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YYYY
Date last dosage to be given. *
MM
/
DD
/
YYYY
Time of day to be given *
Dosage *
Any known side effects *
DECLARATION: I understand that I must deliver medicine personally to the School Reception and accept that this is a service that the school is not obliged to undertake. I confirm that my child’s doctor has stated that he/she considers it is necessary for the medication to be taken during school hours. 
I confirm that I will collect the medication when the course is complete. If the medication is not collected by the end of term I understand it will be disposed of. 
Please print your full name here.
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