Medication Form

Medication Form
If your child will be bringing medication into school, please complete this form.
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Pupil Name:
The above pupil requires the medication:
Is the above named medication a salbutamol inhaler?
Does your child experience any side effects from this medication?
I confirm that I will send this medication into school in a clear, named, plastic bag or box.
I confirm that the medication has been prescribed by a medical doctor, and give permission for members of Greenfield staff to administer it, according to the instructions above. I understand that staff cannot be held responsible for loss or damage to the equipment, nor for any medical condition which arises subsequent to administering the medication. I undertake to inform Greenfield School of any changes which may occur in my child’s requirements with regard to the medication.