Useful Forms | Cherry Tree Academy Trust

ADMINISTRATION OF MEDICINES FORM

NAME OF CHILD:

Max length 120 characters

NAME OF CLASS:

Max length 120 characters

NAME AND STRENGTH OF MEDICATION:

Max length 500 characters

EXPIRY DATE OF MEDICATION:

Max length 120 characters

DOSE TO BE GIVEN:

Max length 120 characters

TIME MEDICATION TO BE GIVEN:

Max length 120 characters

ANY OTHER INSTRUCTIONS:

Max length 120 characters

NUMBER OF TABLETS / QUANTITY TO BE GIVEN BY ACADEMY STAFF:

Max length 120 characters

DAYTIME CONTACT PHONE NUMBER OF PARENT OR FAMILY MEMBER:

Max length 120 characters

NAME AND PHONE NUMBER OF GP:

Max length 120 characters

AGREED REVIEW DATE:

Max length 120 characters

The above information is, to the best of my knowledge accurate at the time of writing:

Max length 120 characters

I consent for the staff of Cherry Tree Academy to administer the medication as instructed above:

Max length 120 characters

I will let the academy, immediately, and in writing, if there is any change in dosage or frequency:

Max length 120 characters

LOGGED EMAIL ADDRESS:

Absence in Term Time - Holiday Requests for Exceptional Circumstances

Junior Absence Form

This form should be used if your child is going to be away from school during the day for any other reason than holiday (there is a separate holiday form). Please complete this form if your child has been ill or attending a medical appointment for which they will need time out of school. If your child is attending a medical or dental appointment we will ask to view a copy of the appointment card.