Parents / carers must complete and sign this form prior to the nursery administering prescribed medication. (1) If medicines or drugs are prescribed by a doctor for the child’s ongoing health needs, and the nursery team is required to administer on an ongoing basis (2) a child has returned from a bout of sickness and the exclusion period has elapsed, but medication is required to the end of a treatment.

Prescribed Medication Form

Form to be completed by parents/carers authorising nursery to give medication.
  • Please complete one consent form per child
  • Specify total amount per dosage and how administered i.e. 2 x 5 ml spoons, 2 x 20mg tablets. If any special equipment needed such as Epipen, ensure instructions given to staff.
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