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

LOCAL VISITS FORM

ABSENCE FORM