Parental Agreement for School to Administer Prescribed Medicine (short term use)Parental Agreement for School to Administer Prescribed Medicine • September 8th, 2017
Contract Type FiledSeptember 8th, 2017Name of child Date of birth Medical Condition/Illness Class Member of staff responsible Name of medicine (as described on the container) Date dispensed/ / Agreed finish/review date Expiry date / / Dosage and method Timing Special precautions Procedures to take in an emergency Are there any side effects school needs to know about? Note: Medicines Must Be In The Original Container As Dispensed By Pharmacy Contact details: NameDaytime telephone no Relationship to child Address