Permission to Administer Calpol & Antihistamine

Parent/guardian consent to administer short-term non-prescribed ‘ad-hoc’ medicines

The school will not administer medication unless this form is completed and signed. This information will be kept securely with your child’s other records. If further information is needed we will contact you. Please do not hesitate to contact the school if there are any issues you wish to discuss.

Pupil's Name:

Pupils DOB:

Enter date of birth

Gender at Birth:

Female
male

Current Class:

Birth: Pupil's

Consent for Ad-Hoc Medicines - Tick those you give consent for administering

Paracetamol / Calpol
Antihistimine

The Medicines Policy permits the school to administer the above non-prescription medication if your child develops the relevant symptoms during the school day. Pupils will be given a standard dose suitable to their age and weight. You will be informed when the school has administered medication by a phone call or message home. The school will not administer any medication before 12:30 without gaining consent first, in case of a morning dosage being administered. If consent is provided, and it is after 12:30, we will not need to contact home first, but we will ensure you are aware that a dose has been administered. The school holds a small stock of the following medicines: Paracetamol and Anti-histamine

PARENT

Clear Signature

Signing the non-prescription medications above means that you give your consent for the school to administer during the school day and confirm that you have administered these medications in the past without adverse effect. Please keep the school informed of any changes to this consent, otherwise if you are giving consent for the administration of the schools own medication stock it will be assumed that consent remains in place unless the schools is informed otherwise in writing.