MEDICINE IN SCHOOL TIME
School can only administer medicine prescribed by a doctor
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CHILD'S NAME *
MEDICATION *
TIME TO BE ADMINISTERED *
Time
:
While I am grateful that the school is prepared to administer the dose I accept that there are no medically trained personnel in school and that the school accepts no responsibility for administering medicines.  Each dose must be sent with clearly labelled instructions.
Signed by parent/guardian *
Date *
MM
/
DD
/
YYYY
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