Medication During School Hours

Our records indicate that your child has a medical condition that may require medication to be self-administered during school hours or to be kept in school for emergency use.

To ensure we provide the best care possible, we kindly request that you answer the following questions.

Your responses will help us update our records to support your child's specific needs.

Pupil Details

Pupil's Full Name* Pupil's Date of Birth*

Medication Details

Is your child required to take medication during school hours?*YesNo

Would you like us to keep medication for your child in school for emergency use?*YesNo

Please list the medication required to be kept in school: Is there any other information you would like to provide regarding your child's medication?

If you have answered "yes" to the above questions and listed the medication that needs to be kept in school, we will contact you to arrange a date and time to bring the medication to Hodge Hill College and fill out a consent form in preparation for September 2024.

Parent/Carer Details

Parent/Carer's Full Name* Parent/Carer's Mobile Number*

Declaration*I hereby confirm that the information provided in this form is accurate and up-to-date