Please sign in the box below to confirm all of the above information is correct. By signing this form you are agreeing to the following statement:
I understand that (if applicable) I must deliver the medicine personally to the school and accept that this is a service which the school is not obliged to undertake.
I am responsible to monitor the expiry date of the medication in school and provide new medication when necessary.
In the event of my child displaying symptoms of asthma or allergic reactions and their Inhaler/Emerade Pen is not available or is unusable, I consent for my child to receive Salbutamol from an emergency inhaler or use of an Emerade Pen held by school for such emergencies.
The above information is to the best of my knowledge, accurate at the time of writing and I give consent to school staff administering medicine in accordance with the school policy.
I will inform the school immediately, in writing, if there is any change in dosage or frequency of the medication or the medicine is stopped.
This data is being collected,controlled & processed in line with General Data Protection Regulations(2018). The school has a duty to protect this data & to keep it up to date.The school is required to share some of the data with the Local Authority and with the Department for Education.More information about data sharing can be found under the Data Protection section on our website https://baildonce.co.uk/parents-and-pupils/policies/