Parental agreement for Orford School to administer medicine
Email address *
Child's name *
Your answer
Class/Group *
Your answer
Name and strength of medicine *
Your answer
Expiry date *
Your answer
Dose to be given *
Your answer
Time to be given *
Your answer
Any other instructions eg keep in fridge, to be given with food
Your answer
Who is bringing the medicine in to school?
Daytime telephone number of parent or carer *
Your answer
Name and telephone number of GP *
Your answer
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