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Administration of Prescribed Medicines
School staff are able to administer prescribed medicines to children during school hours.
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* Indicates required question
Email
*
Your email
Child's name
*
Your answer
Emergency contact name and number
*
Your answer
I confirm the pupil information the school holds for the child (address, contact details) are correct.
*
Yes
No
Medicine to be administered
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Your answer
Reason (eg. tonsillitis, chest infection)
*
Your answer
Dosage (amount, time)
*
Your answer
I confirm I give permission for staff to administer the medicine with the information I have provided.
*
Yes
No
Form completed by (name, relationship to child, date)
*
Your answer
Send me a copy of my responses.
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