Administering medicine

Welcome to our school's medical section, dedicated to ensuring the well-being and health of our students. If your child requires medication while at school, please fill in the form below.

If your child requires an asthma pump or epi pen, you will still be required to come to the school office to complete an NHS form.

The school will not give your child medicine unless you complete and sign this form

Administering short term medicine

Please enter your child's first name* Please enter your child's surname* Please enter your child's class* Please enter your child's date of birth* Please enter medical condition/Illness* Please upload supporting doctor's notes if possible No file chosen Please enter medicine name* Please enter medicine expiry date* Please enter dosage* Please enter timings and frequency* Please enter the method (tablet, syringe)* Special precautions/other instructions* Please enter any side affects that the school need to know about.*

Is the child able to self administer ?*YesNo

Emergency contact name* Emergency contact email address* Emergency contact number* Emergency contact alternative number*

I hereby acknowledge by completing this form, it is to the best of my knowledge, accurate at the time of writing and I am giving consent to school/setting staff administering medicine in accordance with the school/setting policy. Please note that we can only accept forms submitted by individuals listed with parental responsibility. Please bring all medication to the school office in the morning.*I Hereby agree to the above statement

Name of guardian agreeing to the above statement*

Pupils with Medical Conditions and Administration of Medicine Policy UPDATE
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