Please complete this form if your child needs to take medication while at school. Per Provincial legislation, the following must be adhered to:

Parents must provide written authorization in order for medication to be administered to a child at Lyonsgate.

Parents must complete and sign a “Lyonsgate Medication Administration Form” to indicate their authorization for medication to be administered to their child while the child is in attendance at Lyonsgate.

The information on the “Lyonsgate Medication Administration Form” must include a schedule that sets out when the drug or medication is to be given, which includes either specific times of the day or specific symptoms that must be present, as well as the dosage to be given.

Drugs or medications for administration to children in attendance at Lyonsgate must be provided to Lyonsgate in their original containers, or as supplied by a pharmacist.

The container or package containing the drugs or medications must be clearly labelled with the child's name, the name of the drug or medication, the dosage of the drug or medication, the date of purchase and expiration, if applicable, and instructions for storage and administration.

NOTE: For ongoing, regular medication administration, please come into the office to complete the relevant form.