Administration of Medicine

Please Read Carefully:

Medication is administered by school staff voluntarily, on the understanding that no absolute guarantee can be given that doses and/or times can be adhered to as a result of the pressures of daily routine within a school. Should you wish to ensure your child gets the correct dose at the proper time you should come into school to administer your child’s medication yourself.

If you wish school to administer medication on your behalf, and accept the terms above, please complete the form below.

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Child's Name *

Date of Birth *

Child's Class *

Little Saints St George St Christopher St David St Patrick St Andrew St Mary St John Choose Class

Contact Phone Number *

GP/Surgery Name

Medicine to be Administered *

e.g. Amoxycillin,

Dosage *

e.g. 5ml, one spoonful, 1 tablet etc

Time(s) to administer *

e.g. lunchtime, 2.30pm, when needed

Other Notes/Information

Add extra notes if needed.

Start date to administer medicine *

 

End date to administer medicine *

 

Please provide a signature.

 

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