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Parents
Health & Medication
Administration of Medicine Form
Administration of Medicine Form
PLEASE NOTE that parents, not children, should bring medicines to the office.
Details of the child
Child's name:
*
Class:
*
Medicine
Name of medicine:
*
Expiry date:
*
Dose:
*
Administration Times:
*
Date administered from:
*
Date administered to:
*
I give permission for the office staff / teachers to administer the medication mentioned above to my child.
Parent name:
*
Today's date:
*
Parent email address:
*
Submit
In this section
Administration of Medicine Form
HEALTHCARE PLAN for pupils with medical needs
