Parental Agreement to Administer Medicine Sample Contracts

PARENTAL AGREEMENT TO ADMINISTER PRESCRIPTION OR NON-PRESCRIPTION MEDICINE
Parental Agreement to Administer Medicine • March 31st, 2021

contents, the dosage and the prescribing doctor’s name (in the case of prescription medication) or in the original packaging (eg: sealed blister pack) for non-prescribed medicine.

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Parental agreement to administer medicine
Parental Agreement to Administer Medicine • September 26th, 2022

School is unable to 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 to administer medicine
Parental Agreement to Administer Medicine • July 22nd, 2023

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 TO ADMINISTER MEDICINE/ASTHMA INHALER
Parental Agreement to Administer Medicine • December 1st, 2017

Note 2: All medicines must be in the original container as dispensed by the pharmacy, with the student’s name, its contents, the dosage and the prescribing doctor’s name.

PARENTAL AGREEMENT TO ADMINISTER PRESCRIPTION OR NON-PRESCRIPTION MEDICINE
Parental Agreement to Administer Medicine • December 4th, 2019

Note 2: All medicines must either be in the original container as dispensed by the pharmacy, with your child’s name, its contents, the dosage and the prescribing doctor’s name (in the case of prescription medication) or in the original packaging (eg: sealed blister pack) for non- prescribed medicine.

Appendix 1 Parental agreement to administer medicine
Parental Agreement to Administer Medicine • September 28th, 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.

Francis Askew Primary Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • September 25th, 2018

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 TO ADMINISTER PRESCRIPTION OR NON-PRESCRIPTION MEDICINE
Parental Agreement to Administer Medicine • June 15th, 2022

Note 2: All medicines must either be in the original container as dispensed by the pharmacy, with your pupil’s name, its contents, the dosage and the prescribing doctor’s name (in the case of prescription medication) or in the original packaging (e.g.: sealed blister pack) for non-prescribed medicine.

CENTRE ACADEMY LONDON
Parental Agreement to Administer Medicine • December 7th, 2023
Parental Agreement to Administer Prescription & Over the Counter (OTC) Medicine.
Parental Agreement to Administer Medicine • April 29th, 2021

• Parental agreement for school to administer medicine – The school will not give your child medicine unless you complete and sign this form.

Parental Agreement to administer medicine
Parental Agreement to Administer Medicine • November 20th, 2020

The staff at Eastfield Primary School will not be able to give your child medicine unless you complete and sign this form. Eastfield has a policy that the staff can administer medicine but only upon the receipt of this document.

P arental agreement to administer medicine
Parental Agreement to Administer Medicine • September 8th, 2020

The school will not give your child medicine unless you complete and sign this form. If more than one medicine is to be given, a separate form should be completed for each one. PLEASE INFORM YOUR CHILD’S CLASS TEACHER THAT THIS MEDICATION IS REQUIRED.

PARENTAL AGREEMENT TO ADMINISTER PRESCRIPTION OR NON-PRESCRIPTION MEDICINE
Parental Agreement to Administer Medicine • October 19th, 2016

Note 2: All medicines must either be in the original container as dispensed by the pharmacy, with your child’s name, its contents, the dosage and the prescribing doctor’s name.

Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • August 14th, 2024

Lansdowne 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.

THIS FORM MUST BE COMPLETED BY PARENT/GUARDIAN If staff have any concerns the request should be discussed with school healthcare Professionals.
Parental Agreement to Administer Medicine • September 22nd, 2020

The above information is, to the best of my knowledge, accurate at the time of writing. I confirm that my child has been administered this medicine without adverse effect in the past and give my consent to Red House School staff administering medicine in accordance with the 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.

The Bishop’s Stortford High School Parental Agreement to administer medicine
Parental Agreement to Administer Medicine • June 1st, 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. TBSHS will not administer medicines unless they have been prescribed by a GP and given in the original container by the pharmacist. Any forms must be completed annually, if this is a long-term condition. Please only pass on any medication that needs to be administered in school(no excess) and any unused medication will be disposed of if not collected by a parent/guardian.

Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • November 11th, 2024

Turney 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.

Francis Askew Primary Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • May 7th, 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 to administer medicine in school
Parental Agreement to Administer Medicine • September 27th, 2016

Name/type of medicine(as described on the container) Dosage and method Timing (this must be break orlunchtimes if possible) How long is this medication neededfor? Special precautions/otherinstructions Any known side effects? Procedures to be taken in anemergency

Parental agreement to administer medicine
Parental Agreement to Administer Medicine • January 8th, 2018

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 administered medicine.

PARENTAL AGREEMENT TO ADMINISTER MEDICINE
Parental Agreement to Administer Medicine • December 3rd, 2009

Note 2: All Medicines must be in the original container as dispensed by the pharmacy, with the young persons name, its contents, the dosage and the prescribing doctor’s name

Parental agreement to administer medicine
Parental Agreement to Administer Medicine • April 1st, 2022
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Parental agreement to administer medicine
Parental Agreement to Administer Medicine • December 26th, 2023

Name/type of medicine (as described on packaging) Expiry date Dosage and method Timing Special precautions/other instructions Are there any side effects that the school/setting need to know about? Self-administration -Y/N? Procedures to take in an emergency

Christ the King Catholic Collegiate Medicine Administering Form – Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • July 6th, 2016

To be completed by the parent/guardian of any child requesting medicine to be administered under the supervision of school staff or where a child is bringing medicine into school which they will self-administer.

PARENTAL AGREEMENT TO ADMINISTER PRESCRIPTION OR NON-PRESCRIPTION MEDICINE
Parental Agreement to Administer Medicine • February 10th, 2023

Note 2: All medicines must either be in the original container as dispensed by the pharmacy, with your child’s name, its contents, the dosage and the prescribing doctor’s name (in the case of prescription medication) or in the original packaging (eg: sealed blister pack) for non- prescribed medicine.

St Thomas of Canterbury RCPParental Agreement to Administer Medicine The school will not give your child medicine unless you complete and sign this form, and the headteacher has agreed that school staff can administer the medication. School can only...
Parental Agreement to Administer Medicine • May 14th, 2021

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.

Shepton Mallet Community Infants’ School & Nursery Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • September 28th, 2020
PARENTAL AGREEMENT TO ADMINISTER MEDICINE
Parental Agreement to Administer Medicine • June 27th, 2017

The above information is, to the best of my knowledge, accurate at the time of writing. I confirm that my child has been administered this medicine without adverse effect in the past and give my consent to Red House School staff administering medicine in accordance with the 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.

Parental agreement to administer medicine
Parental Agreement to Administer Medicine • November 20th, 2019

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’s policy. I will inform the school immediately, in writing.

Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • September 6th, 2021

September 2022, when medication expires, if the medicine is finished/stopped or if anything changes with your child’s medical condition.(Whichever comes first) The Lantern School

PARENTAL AGREEMENT TO ADMINISTER MEDICINE
Parental Agreement to Administer Medicine • May 26th, 2021

Note 3: The information is requested, in confidence, to ensure that the academy is fully aware of the medical needs of your student.

Parental agreement to administer medicine
Parental Agreement to Administer Medicine • September 5th, 2020

The school will not give your child medicine unless you complete and sign this form. Any medicine will be administered in accordance with the school’s Administration of Medicine Policy.

Parental agreement to administer medicine
Parental Agreement to Administer Medicine • March 11th, 2021

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 to administer medicine
Parental Agreement to Administer Medicine • November 21st, 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 administer medicine.

Parental Agreement to Administer Medicine
Parental Agreement to Administer Medicine • October 18th, 2021

This form must be completed in full and signed. The completion of this form does not act as a guarantee that the school will administer medication and the school may refuse to administer medication at any time. Any medication to be administered must have been administered previously by the parent to minimise the risk of adverse or allergic reaction to any new medication. All medication must be stored its original container and be clearly labelled with the child’s name and original pharmacy label. Please refer to the Medication and Supporting Children with Medical Conditions Policy for more information.

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