First Aid and Medical Incident Report
To be completed whenever first aid or medical treatment is given
Email address *
Name of child *
Class *
Name of staff member who treated child *
Where incident occurred *
If other, please describe
Time of Incident *
Nature of injury *
If other, provide details below
Area of injury / pain *
Treatment given *
If other, please describe here
If temperature taken, please note it here
Parent/carer to be informed? If yes, please ask the office to call parent/carer. *
Is a West Sussex accident form required? If unsure, please check with the office. *
A copy of your responses will be emailed to the address you provided.
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