St Teresa's Catholic Primary School - Medical Forms and Information

Medical Forms and information

If your child requires medication during the school day then please submit either the online form below or download the paper copy and hand into the school office. Please find important information from the NHS and the Department for Health.

Form 3

Form 3 is an agreement between parent/carer and school so that medication can administered during the school day. In accordance with school policy, medicine cannot be administered unless this form is completed and submitted by a parent/carer.

Name of child

Date of birth

Class

Medical condition/illness

Name the medicine is prescribed to on the container

Name/type of medicine (as described on the container)

Date to commence medication

Date medication to cease

Date dispensed

Expiry date of medication

Dosage and method

Timing of dosage

Special Precautions

Are there any side effects that school needs to know about?

Will your child self administer the medication?

Procedures to take in an emergency

Information on Measles from Public Health England

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Information on Measles from Public Health England

Download Document