Common Contracts

1 similar Parental Agreement Form contracts

Parental Agreement Form
Parental Agreement Form • April 28th, 2022

Hunloke Park Primary School Medication Administration Form The school will not give your child medicine unless you complete and sign this form. Name of child: Date of birth: Group/class/form: Medical condition/illness: Medicine/s: Name/type of medication as described on the container: Date dispensed: Expiry date: Agreed review date: ………………………………………………………………………………………… Review to be initiated by: …………………………………………………………………………………… Dosage, method and timing: Special precautions: Are there any side effects that the school needs to know about? Self-administration: Yes/No (delete as appropriate)

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