Sutton Grammar SchoolParental Agreement for School to Administer Medicine • February 29th, 2024
Sutton Grammar School staff will not give nor store your child’s medicine unless you return this form completed and signed.
Parental Agreement for School to Administer MedicineParental Agreement for School to Administer Medicine • September 25th, 2019
Parental Agreement for school to administer medicineParental Agreement for School to Administer Medicine • March 24th, 2021
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 school policy. I will inform the school immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped.
ContractParental Agreement for School to Administer Medicine • April 19th, 2024
ContractParental Agreement for School to Administer Medicine • April 28th, 2022
Parental Agreement for School to Administer MedicineParental Agreement for School to Administer Medicine • March 22nd, 2022
Dishforth C of E Primary 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 School to Administer MedicineParental Agreement for School to Administer Medicine • May 15th, 2019
Date Child’s Name & Date of Birth Class Name / type of medicine Expiry date if applicable How much to give ( i.e. dose to be given)Self-administration – Y / N Time to be given Last dose given Any other instructions Note: Medicines must be the original container as dispensed by the pharmacy Name Contact telephone no Relationship to child
Parental Agreement for School to Administer MedicineParental Agreement for School to Administer Medicine • September 21st, 2017
The school will not agree to administer any medication that it is not essential to administer during the school day. If it is acceptable for doses to be given before and after school and at bedtime (i.e. 3 times a day) the school should not be asked to administer during school day.
Parental agreement for School to administer medicineParental Agreement for School to Administer Medicine • November 17th, 2023
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.
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • February 6th, 2019
Name of child: Date of birth: Class: Medical condition or illness: Medicine Name (as printed on thecontainer): Date dispensed: Expiry date: Dosage and method: Timing: Special precautions: Any side effects that the schoolneeds to know about: Procedures to take in anemergency: Contact details Name: Daytime telephone number: Relationship to child:
Parental Agreement for school toParental Agreement for School to Administer Medicine • March 1st, 2016
Medical Condition/ illness: Name/type of medication: Dosage and method: Time/s medication is to be administered throughschool day: Length of medication course/ finish date: Any side affects that we need to be aware of? Procedure in case of Emergency: Emergency contact details 1.Relationship to child: H W M Emergency contact details 2.Relationship to child: H W M G P contact details: Name Of Practice: G P Name:Telephone number:
Bramley Church of England Primary School Parental Agreement for School to Administer MedicineParental Agreement for School to Administer Medicine • November 27th, 2020
Parental agreement for School to administer medicine (version for use during Coronavirus crisis)Parental Agreement for School to Administer Medicine • June 19th, 2020
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 School to Administer MedicineParental Agreement for School to Administer Medicine • July 18th, 2018
Frances Olive Anderson CE Primary School will not give your child medicine unless you complete and sign this form. The school has a policy that the staff can administer medicine – see Supporting Pupils with Medical Needs Policy.
PARENTAL AGREEMENTParental Agreement for School to Administer Medicine • June 24th, 2020
DATE CHILD'S NAME NAME AND STRENGTH OF MEDICINE EXPIRY DATE HOW MUCH TO BE GIVEN (DOSE) WHEN TO BE GIVEN NUMBER OF TABLETS/QUANTITY GIVEN TO SCHOOL ANY OTHER INSTRUCTIONS
Parental Agreement for School to Administer MedicineParental Agreement for School to Administer Medicine • February 19th, 2021
Name/type of medicine (as described onthe container) Date dispensed Expiry date Dosage and method Timing/frequency Special precautions/other instructions Any side effects? Self-Administration Y/N Procedures to take in an emergency
PARENTAL AGREEMENT FOR SCHOOL TO ADMINISTER MEDICINE FORM AParental Agreement for School to Administer Medicine • June 20th, 2014
Name of child : Class :Date of Birth Medical condition or illness : Name/type of medicine (as described on the container) storage : Date dispensed : Expiry date : Dosage & method : Date & time of last dosage the child was given : Date of first dosage to be given in school : Date of last dosage to be given in school : Time(s) of dosage(s) : Possible side effects: Child to self-administer : Yes / No (delete as appropriate) Procedures to take in emergency : Name & surgery/tel no of GP : Has the medicine has been administered without adverse effect to the child in the past and has the parent/carer certified this is the case Yes / No (delete as appropriate)
The Bythams Primary School Parental Agreement For School To Administer MedicineParental Agreement for School to Administer Medicine • September 24th, 2019
St Wilfrid’s RCVA Primary SchoolParental Agreement for School to Administer Medicine • November 12th, 2013
The school will only give your child medicine if the label clearly shows it has been prescribed for them and this form is completed and signed. If more than one medicine is to be given a separate form should be completed for each one.
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • October 7th, 2020
St Mary’s Junior School staff 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 school to administer medicineParental Agreement for School to Administer Medicine • October 6th, 2022
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.
ContractParental Agreement for School to Administer Medicine • March 2nd, 2023
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 only administer medicine that has been prescribed by a doctor
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • November 7th, 2022
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.
ContractParental Agreement for School to Administer Medicine • April 14th, 2016
PARENTAL AGREEMENT FOR SCHOOL TO ADMINISTER MEDICINE on Residential visit FORM CParental Agreement for School to Administer Medicine • June 20th, 2014
Name of child : Date of Birth Medical condition or illness : Name/type of medicine (as described on the container)storage : Date dispensed : Expiry date : Dosage & method : Date & time of last dosage the child was given : Date of first dosage to be given on trip: Date of last dosage to be given on trip: Time(s) of dosage(s) : Possible side effects : Child to self-administer : Yes / No (delete as appropriate) Procedures to take in emergency : Name & surgery/tel no of GP : Has the medicine has been administered without adverse effect to the child in the past and has the parent/carer certified this is the case Yes / No (delete as appropriate)
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • September 29th, 2020
The school will not give your child medication unless you complete and sign this form, and the school has a policy that staff can administer medicine.
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • September 7th, 2021
The school will not give your child medicine unless you complete and sign this form. As per school policy only medicines prescribed by a doctor will be administered by staff.
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • May 11th, 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.
PARENTAL AGREEMENT FOR SCHOOL TO ADMINISTER MEDICINEParental Agreement for School to Administer Medicine • January 14th, 2019
The school will not give your son/daughter medicine unless you complete this form. Our school policy is that only nominated staff (Office Staff) can administer medicine.
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • October 17th, 2023
Parental Agreement for School to Administer MedicineParental Agreement for School to Administer Medicine • August 22nd, 2020
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • February 11th, 2019
The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to school/setting staff administering medicine in accordance with the school/setting policy. I will inform the school/setting immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped.
ContractParental Agreement for School to Administer Medicine • October 9th, 2018
PARENTAL AGREEMENT FOR SCHOOL TO ADMINISTER MEDICINE 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. Student Details Contact Details Name of Child: Name: Date of Birth: Daytime Telephone Number: Form: Relationship to Child: Medical Condition/Illness: Address: Medicine Details Name/Type of Medicine, Strength (as described on the container): Special Precautions : Date Dispensed : Any other instructions : Expiry Date : Are there any side effects that the school needs to know about? Agreed review date to be initiated by (name of staff member) : Self-Administration : YES or NO (delete as appropriate) Dosage and Method : Procedures to take in an emergency : Timing : Name and Phone Number of GP : I understand that I must deliver the medicine personally to Student Services Reception. The above information is, to be best of my knowledge, accurate at the time of writing and I give consent t
Parental agreement for school to administer medicineParental Agreement for School to Administer Medicine • June 22nd, 2020
Darrington Church of England Primary SchoolParental Agreement for School to Administer Medicine • October 8th, 2020
Darrington CE Primary is unable to give your child medicine unless you complete and sign this form and is to be used in conjunction with the Administering Medicine Policy which is reviewed annually.
