Please complete this form giving full details of your child's medications including names, dosages, and times to be administered during school and also those that are administered at home.
If during this term your child's medication or dose is changed by a prescribing health professional, please inform us in writing immediately.
All medicines should be in their original container, clearly labelled with your child's name.
If you give any extra medication e.g. Paracetamol before arriving at school could you please inform the school.
If you require this form to be translated into a different language or in a different format (such as easy read or large print, audio) then please contact specialschools.staffs@mpft.nhs.uk.
The school may use the following non-prescribed items, but only with your consent.
Please indicate which of the following you wish your child to receive if necessary:
