Parental Agreement for Medicine Administration Sample Contracts

Parental agreement for Whiteknights Primary School to administer medicine
Parental Agreement for Medicine Administration • October 8th, 2024

It is not possible for us to give your child medicine unless you complete and sign this form. Please note that the school is under NO obligation to administer medicines and neither the school nor the governors shall be liable in the event of any loss, damage or personal injury arising in the course of administering medicines, in the absence of any negligent act or omission by them or on their behalf.

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Parental agreement for school/setting to administer medicine
Parental Agreement for Medicine Administration • May 26th, 2017

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 SCHOOL NURSE/MATRON TO ADMINISTER MEDICINE TO BOARDERS
Parental Agreement for Medicine Administration • June 5th, 2019
Parental Agreement for Boughton Monchelsea Primary School to Administer Medicine
Parental Agreement for Medicine Administration • December 13th, 2016

Boughton Monchelsea Primary School will not give your child medicine unless you complete and sign this form. Boughton Monchelsea Primary School has a policy that the staff can administer medicine.

HIGH DOWN SCHOOLS
Parental Agreement for Medicine Administration • July 7th, 2020

Contact Details Name Daytime telephone no. Relationship to child Address I understand that I must deliver the medicine personally to [agreed member of staff]

Parental agreement for setting to administer the medicine overleaf
Parental Agreement for Medicine Administration • February 2nd, 2024

Please do not decant medicines into other containers. We can only accept medicines in their original container as dispensed by the pharmacy; otherwise we might miss important instructions and warnings. We only accept new sealed bottles of medicines.

Parental agreement for school to administer prescribed medicine
Parental Agreement for Medicine Administration • November 10th, 2023

The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to the setting staff administering medicine in accordance with the setting policy. I will inform the setting immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped.

Form 3A PARENTAL AGREEMENT FOR THE ALDERMAN WHITE SCHOOL TO ADMINISTER MEDICINES
Parental Agreement for Medicine Administration • December 11th, 2018

The Alderman White School & Language College will not administer medicines to your child unless you complete and sign this form:

Contract
Parental Agreement for Medicine Administration • September 23rd, 2019

Parental Agreement for Scholes J & I School to administer SHORT TERM Medicine Please label medication with your child’s name and class Medication is PRESCRIBED please tick if applicable Medication is NON-PRESCRIBED please tick if applicable Medication will need to be SENT HOME please tick if applicable Medication can be KEPT IN SCHOOL please tick if applicable

PARENTAL AGREEMENT FOR BICKLEIGH ON EXE CE PRIMARY SCHOOL TO
Parental Agreement for Medicine Administration • November 9th, 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.

Ysgol Bryn Teg
Parental Agreement for Medicine Administration • October 9th, 2020
Parental Agreement for Garswood Primary School to Administer Medicine
Parental Agreement for Medicine Administration • August 20th, 2016

The school will be unable to give your child medicine unless you complete and sign this form. Please complete all the required information. Thank you.

Parental agreement for school/setting to administer medicine
Parental Agreement for Medicine Administration • December 1st, 2021

Steel City Schools Partnership Schools will not give your child medicine unless you complete and sign this form. This is in accordance with our “Managing Medicines” policy. This is online on SCSP and the school websites, or you can ask for a copy from the school office.

Parental agreement for education setting to administer medicine
Parental Agreement for Medicine Administration • September 23rd, 2019

Knighton Church in Wales Primary School needs your permission to give your child medicine. Please complete and sign this form to allow this.

Parental Agreement for setting to administer medicine template
Parental Agreement for Medicine Administration • April 8th, 2019

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 Clement’s Catholic Primary School to Administer Medicine
Parental Agreement for Medicine Administration • December 7th, 2017

The school setting will not give your child a prescribed medicine unless you complete and sign this form. The school has a policy that staff can administer medicine.

Parental agreement for Hyde Park Infant School to administer medicine.
Parental Agreement for Medicine Administration • May 18th, 2013

The school will not give your child medicine unless you complete and sign this form. Name of school Hyde Park Infants School

Parental agreement for school to administer medicine
Parental Agreement for Medicine Administration • October 23rd, 2015

The school will not give your child medicine unless you complete and sign this form, and the school or setting has a policy that staff can administer medicine.

Parental agreement for school/setting to administer medicine
Parental Agreement for Medicine Administration • April 26th, 2022

The school will not give your child medicine unless you complete and sign this form, as stated in the Health & Safety Policy.

PARENTAL AGREEMENT FOR A DCC ESTABLISHMENT TO ADMINISTER MEDICINE
Parental Agreement for Medicine Administration • October 7th, 2013

Note 1: This establishment will only give your child medicine when you have completed and signed this form and where there is a school policy that staff can administer medicine.

Parental agreement for school to administer medicine
Parental Agreement for Medicine Administration • May 7th, 2021

The school will not give your child medicine unless you complete and sign this form. The school has a policy that staff can administer medicine.

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Parental agreement for school staff to administer medicine during a residential trip
Parental Agreement for Medicine Administration • February 12th, 2019

The school has a policy that staff can administer medicine with the appropriate written permission by the parent. Please complete the form below if child will need to be given medication – prescribed or ‘over the counter’, including travel medication – during the course of our visit to:

Parental agreement for school to administer medicine. (Asthma medication or long term medicine)
Parental Agreement for Medicine Administration • July 1st, 2021

The school will not give your child medicine unless you complete and sign this form, and the school has a policy that staff can administer medicine.

Parental agreement for school staff to administer medicine
Parental Agreement for Medicine Administration • September 26th, 2022

The school 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.

Contract
Parental Agreement for Medicine Administration • January 29th, 2024

Parental agreement for Mowbray School to administer medicine, for both prescribed and Over the Counter (OTC) medication

Parental agreement for the Academy to administer medicine
Parental Agreement for Medicine Administration • June 22nd, 2022

Name of School: Pound Hill Infant Academy Name of Child: Class: Male or Female: Date of Birth: MedicalCondition/Illness: Medicine: Name/Type of Medicine (as described on the container): Date dispensed: Expiry date onmedication: Start date to give medication in theAcademy: Last date to give medication in theAcademy: Dosage and method: Timing of medication to be given in theAcademy: SpecialPrecautions/notes: Signs and symptoms:

Parental agreement for school to administer medicine
Parental Agreement for Medicine Administration • December 18th, 2015

The school will not give your child medicine unless you complete and sign this form, and the school has a policy that the staff can administer medicine.

Parental agreement for Costock C of E Primary School to administer medicine
Parental Agreement for Medicine Administration • January 13th, 2020

The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to school staff administering medicine in accordance with the school policy – to view our school policy regarding medicine please visit the school website or ask at the school office. I will inform the school immediately, in writing, if there is any change in dosage or frequency of the medicine or if the medicine is stopped.

Parental agreement for school/setting to administer medicine
Parental Agreement for Medicine Administration • September 22nd, 2011

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 staff can administer medicine.

Parental agreement for school/setting to administer medicine
Parental Agreement for Medicine Administration • March 11th, 2016

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 staff can administer medicine.

Contract
Parental Agreement for Medicine Administration • July 30th, 2017

Parental agreement for Highwood Primary School to administer medicine It is not possible for us to give your child medicine unless you complete and sign this form

Parental agreement for school/setting to administer medicine
Parental Agreement for Medicine Administration • September 6th, 2022

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.

Appendix D: Parental agreement
Parental Agreement for Medicine Administration • March 6th, 2019

Parental agreement for Shinfield Infant and Nursery School to administer medicine It is not possible for us to give your child medicine unless you complete and sign this form

Parental agreement for Wanborough Playgroup to administer medicine
Parental Agreement for Medicine Administration • March 19th, 2014

Child’s name Child’s date of birth Name and strength of medicine Expiry date Dose to be given When to be given Any possible side effects that may be expected Any other instructions (eg special storage) Number of tablets/quantity to be given to Playgroup Medicines must be in the original container as dispensed by the pharmacy Daytime phone number of parent or adult contact Name and phone number of GP Agreed review date The above information is to the best of my knowledge, accurate at the time of writing and I give consent to Wanborough Playgroup staff administering medicine in accordance with the Medication Policy. I will inform the Playgroup immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped. Parents signature Print Name Date If more than one medicine is to be given a separate form should be completed for each one.

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