Our aim is to ensure that all children with medical conditions are properly supported in school so that they can play a full and active role in school life, remain healthy and achieve their academic potential. We therefore ask that you complete this form carefully so that we can fully support your child if and when needed.There are 6 sections on this form:1. Child Information – Compulsory2. Medical Conditions / Diagnosis – Compulsory3. Medications – Optional (must be completed if your child may / will need to take medication during school activities in or out of school)4. Equipment and resources – Optional5. Specialist / Consultant Information – Optional6. Parent / Carer Details and Declaration - CompulsoryPlease refer to our school policies page for Asthma, Anaphylaxis and Medical Policies as they contain important information on our procedures. (e.g. any child with Asthma MUST always carry their inhaler with them at all times). Policies Page
Please complete this section with details of any medical conditions that the school needs to be aware of eg. Asthma, Diabetes, Allergies, Hearing loss etc.
Please note, it is the parents'/carers' responsibility to ensure they provide the school with sufficient, in date medication and replacements prior to expiration.
Please note for AAI users (e.g EpiPen) - Spare medication MUST be kept in schoolFor Children with Moderate to Sever Asthma we strongly recommend a spare inhaler be kept in school
Please read the following:
The information I have provided is to the best of my ability, up to date and accurate about my child's current medical needs. The school may inform the School Nursing Service about my child's needs (if the service is not already aware). If I have indicated that school may / will be administering the medication, I consent to staff doing so or carrying out the medical intervention in accordance with the school medical policy and sharing relevant information with staff. I undertake to ensure that the school has adequate supplies of stated medicine(s) or resources required to administer the stated medical intervention(s) I am happy for the school to contact me to discuss any of the above information. I agree to inform school of any changes in medical needs or medication / resources / equipment immediately and in writing.