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Medical Update - Current Students
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* Indicates required question
Student's First Name
*
Your answer
Student's Surname
*
Your answer
Year Group
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Year 7/8
Year 9
Year 10
Year 11
Year 12
Year 13
Does your daughter take any regular medication or has she commenced any new medication?
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Yes
No
If Yes, please specify what she is taking, why and dosage (i.e. name of inhalers)
Your answer
Does your daughter have any previous or newly diagnosed sensitivities/allergies/reactions to any medicines/food (i.e. bee stings, penicillin, nuts)?
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Yes
No
If Yes, please provide details including any medication to be given in the case of a reaction.
Your answer
Has your daughter had any injury or new diagnosis that has been dealt with outside of school or in the school holidays that we need to be aware of and when they occurred. (i.e. concussions, minor surgery)
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Yes
No
If Yes, please provide details:
Your answer
If your daughter goes on an overnight trip or camp can her relevant medical information be shared with the accompanying staff member?
Yes
No
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Confirmation
*
I confirm that my daughter is in good health and fit for school life and work.
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