Common Contracts

1 similar Parental Agreement for School to Administer Prescribed Medicine contracts

Parental Agreement for School to Administer Prescribed Medicine (short term use)
Parental Agreement for School to Administer Prescribed Medicine • September 8th, 2017

Name 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

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