7 questions
This form is for parents to authorise school staff to administer common medication.
Back Preview Get SCROLL to use this template| Name | Text of question | Type of answer | Further notes | Data source | Mandatory? |
|---|---|---|---|---|---|
| pupil_forename | Pupil's forename | Text (single-line) | CBDS | Yes | |
| pupil_middle_name | Middle name(s) | Text (single-line) | Optional | CBDS | |
| pupil_surname | Pupil's surname(s) | Text (single-line) | CBDS | Yes | |
| pupil_dob | Pupil's date of birth (dd/mm/yyyy) | Date | CBDS | Yes | |
| permission | I authorise the school staff to administer mild analgesia and emergency treatment to my son/daughter if the need arises. | List of choices | Yes | ||
| adult1_relationship | Relationship to child | List of choices | CBDS | Yes | |
| adult1_tel | Telephone number | Text (single-line) | Yes |