Permission to administer pain relief or antihistamine medication in school
The school will not give your child medication or supervise them taking it themselves unless you complete this form. The school or education setting has a policy for staff to administer medication.

We expect you to notify us first thing in the morning if your child has all ready had any medication before attending school.

School staff, who have received appropriate training, will be covered by indemnity as set out in KCC guidance (section 10 paragraph 2:1 & 5:2 Supporting pupils with medical needs).

We will take this permission for the duration that your child is attending South Borough Primary School. If you wish to change or cancel your permission please contact the school office directly.
Sign in to Google to save your progress. Learn more
Child's name *
Child's class *
I am happy for my child to be given the age appropriate dose of paracetamol *
I am happy for my child to be given the age appropriate dose of Calpol *
I am happy for my child to be given the age appropriate dose of Antihistamine *
Dosage *
What time is the dosage required? *
Time
:
DECLARATION I understand that I must deliver medicine personally to the School Reception and accept that this is a service that the school is not obliged to undertake. I confirm that my child’s doctor has stated that he/she considers it is necessary for the medication to be taken during school hours. Please print your full name here *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Swale Academies Trust. Report Abuse