• Intimate Care Consent Form

  • Child's Date of Birth*
     / /
    2 digit day, 2 digit month, 4 digit year

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    Intimate Care

    At times, children may require support with personal care, including:

    • Nappy changing
    • Support with toileting
    • Assistance with cleaning after toileting
    • Changing wet or soiled clothing
    • Assistance with handwashing and personal hygiene

    Consent for Routine Intimate Care

    I understand that:

    • Intimate care will be carried out respectfully and with regard for my child's dignity and wellbeing.
    • A familiar member of staff will provide support where possible.
    • Staff will follow the Intimate Care Policy and safeguarding procedures.
    • Staff will inform me if there are any concerns regarding my child's intimate care needs.
    • If my child's needs become more complex or require regular additional support, an individual Intimate Care/Toileting Plan may be developed with me.
    • If my child has medical needs or allergies, I must inform the school.
    • I understand that if my child requires a barrier cream, I will need to complete a separate medication form and that the cream must be handed to a member of staff. I will not store any creams in my child’s bag.

    I have read and agree to the above.

    I give permission for staff at Ludwick Nursery School to provide routine intimate care for my child as described above.

     

  • Should be Empty: