ContractParental Consent & Agreement • July 22nd, 2019
Contract Type FiledJuly 22nd, 2019CHILD RECORD FORM Part 2 of 2 PARENTAL CONSENT & AGREEMENT Agreement for Medical Treatment I hereby give consent to (name of child) receiving medical treatment if a doctor thinks it isrequired as an emergency and I cannot be contacted following reasonable attempts to do so prior to such treatment being administered. In the event of an emergency an ambulance will be called. The parent will be contacted and informed about the emergency. A member of staff will go with the child in the ambulance to the hospital and wait until the parents arrive. Signed Parent(1):………………………..……………………… Date:………………… Signed Parent(2):………………………..……………………… Date:……………………………Witnessed: ………………………..……………………… Date:…………………………… Agreement for Anti-febrile Medication The service will only administer ‘Calpol’ (paracetamol) if a child becomes unwell, and has high temperature of 38°C or above. If achild has a high temperature the parent will be contacted before staff administers the temperature reducing medication. In the cas