Authorisation of Medication Form
This form is to be completed by parent/guardian to authorise school teacher/staff to administer medication to your child.
Sign in to Google to save your progress. Learn more
Email *
Student's Name *
Date of Birth
MM
/
DD
/
YYYY
Year Group *
Allergies
Excursion Attending (if applicable)
My child has prescribed/authorised medications to take during the excursion *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Presbyterian Ladies College. Report Abuse
Google Forms