Parental Agreement for School to Administer Medicine
This form is for parents to complete when a child requires medication in school. The school will not give your child medicine unless you complete and sign this form. The school request that parents only complete this from if their child requires to take/use medication for four or more times a day or agreed by Mr D Murphy depending on conditions/circumstances.

If you have any questions about this form or relating to your child taking medication in school. Please contact the school on 0151 487 5678 or email  
If child requires more than one medication a separate form must be completed for each medicine.

This form is to be completed by person with parental responsibility

Note: Medicines must be in the original container as dispensed by the pharmacy and show the pharmacy label detailing name, dosage etc. Parents/carers should ascertain whether prescribed medication could be taken outside the school day as medication should only be taken in school if essential (i.e. it would be detrimental to the child’s health if the medicine were not administered during the school day). Parents/carers should ask
the prescribing doctor or dentist about this.

Parent/carers should be aware, there is no contractual obligation for teachers or headteacher to administer medication.

All information provided in this form is protected under the Data Protection Act and GDPR
Thank you.  
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