If your child needs to have medicine at school please complete the following to give your consent. Medicines must be labelled with the child's name, be in the original container as dispensed by the pharmacy and should be handed into a member of staff. Medicine cannot be administered to your child until this completed form has been received.
Paper copies of all our documents are available free of charge, please enquire at the school office.
Details of parent/carer completing this form
I understand that I must deliver and collect the medicine personally to the school office or a member of staff. The information I have given is to the best of my knowledge, accurate at the time of completing and I give consent to school to administering medicine in accordance with St Michaels policy for Supporting Children with Medical Conditions. I will inform the school immediately if there is any change in dosage or frequency of the medication or if the medicine is stopped.
Please sign below
please use your mouse or finger sign above
Member of staff administering:- Please note below the date, time, dose and your initials EACH time this medicine is given.