PARENTAL AGREEMENT FOR CHULMLEIGHParental Agreement for Administration of Medicine • November 16th, 2017
Note 1: This establishment will not give your child medicine unless you complete and sign this form and where the establishment has a policy that staff can administer medicine.
Parental agreement for school/setting to administer medicineParental Agreement for Administration of Medicine • March 13th, 2015
The school/setting will not give your child medicine unless you complete and sign this form, and the school or setting has a policy that the staff can administer medicine.
Parental Agreement for St Joseph’s Catholic Primary School to administer medicine.Parental Agreement for Administration of Medicine • May 3rd, 2017
Name of School/Setting St Joseph’s Catholic PrimarySchool Date: Name of child Date of birth Class: Medical condition or illness Medicine (Must be in the original containeras dispensed by the pharmacy) Name/type of medicine(as described on the container) Date dispensed Expiry date Agreed review date to be initiated by (nameof member of staff) Dosage and methodIs your child able to self administer Y/N Timing Special precautions Any special instructions If tablets – quantities given to school / setting Are there any side effects that theschool/setting needs to know about? Self administration Yes / No Procedures to take in an emergency Contact Details Name Daytime telephone contact no. Relationship to child Address Name / Contact No. GP
PARENTAL AGREEMENT FOR SETTING TO ADMINISTER MEDICINEParental Agreement for Administration of Medicine • March 1st, 2023
Cameron Vale School and The Chelsea Nursery will not give your child medicine unless you complete and sign this form, and we will follow our policy for administration of medicine. NB: Medicines must be in the original container as dispensed by the pharmacy.
NI fydd yr ysgol yn rhoi meddyginaieth i’ch plentyn oni chwblhewch a llofnodwch y ffurflen honParental Agreement for Administration of Medicine • March 16th, 2024
Parental Agreement for theParental Agreement for Administration of Medicine • November 25th, 2015
We will not give your son/daughter medicine unless you complete and sign this form to allow the Welfare Officer to administer medicine
Parental agreement for setting/school to administer prescribed medicineParental Agreement for Administration of Medicine • July 10th, 2020
Parental Agreement for Administration of MedicineParental Agreement for Administration of Medicine • January 7th, 2011
Name of medicine (as described on container): Dosage and method Timing: Self-administration: YES/NO Special precautions: Are there any known side effects that we should know about? Procedures to take in an emergency:
Wilton Primary School - Parental Agreement for Administration of MedicineParental Agreement for Administration of Medicine • October 17th, 2017
Parental Agreement for staff member to administer medicine (short term medication)Parental Agreement for Administration of Medicine • April 28th, 2015
Parental agreement for administration of medicineParental Agreement for Administration of Medicine • May 18th, 2022
Staff will not administer medicine until this form has been completed and returned. Please read the school policy for the Administration of Medicine. Whenever possible the need for medicines to be administered at school should be avoided. Parents are therefore requested to try to arrange the timing of doses accordingly. All medication MUST be in the original packaging, clearly named/prescription label visible and with manufacturer’s instructions leaflet enclosed. We are unable to accept medicines that do not meet these requirements.
Appendix 6: Form 5 - Parental agreement for Academy to administer medicineParental Agreement for Administration of Medicine • December 12th, 2020
