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Faber Catholic Primary School Medication Details
Confirmation of Medication Details you require to be administered by The Faber Catholic Primary School
Please ensure you have read the medication policy on the school website
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Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Name of Pupil
*
Your answer
Class
Your answer
Name of Medication
Your answer
Dosage
Your answer
Brief explanation of reason medication is required
Your answer
Details of any allergies. (Take into account any cultural, religious or communication needs).
Your answer
Any other instructions ( eg if a tablet do they need it to be snapped in half)
Your answer
Time to be given (if more than once please tell us of each time it is needed)
Your answer
Your Name
Your answer
Relationship to child
Your answer
A copy of your responses will be emailed to the address you provided.
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