Sample
Medicine
Record
PERMISSION TO ADMINISTER MEDICINE
I give
permission for medicine to be administered to my child whilst in the
care of Rosanne’s Childminding Services.
DATE
REQUIRED
DOSE
ADMINISTRATION
TIMES
FROM
(DATE)
TO
(DATE)
Please
note: Welland Childcare will not administer doses of any
medicine that a child has not previously taken (this is in the case of
an allergic reaction). Any
medicine that is administered will be recorded in a medicine record and
will require your signature for each occasion.
Signature
(parent/s). __________________________________________________
Copyright © Rosanne Podmore 2003