Annex 2: Form templates Education settings may wish to use or the forms listed below according to their particular policies on supporting learners with healthcare needs. Form 1 Contacting emergency services ‒ Form 2 Parental agreement for education setting to administer medicine ‒ Form 3 Headteacher/head of setting agreement to administer medicine ‒ Form 4 Record of medicine stored for and administered to an individual learner ‒ Form 5 Record of medicines administered to all learners by date ‒ ‒ Form 6 Request for learner to carry/administer their own medicine ‒ Form 7 Staff training record administration of medicines ‒ ‒ Form 8 Medication/healthcare incident report ‒
Annex 2: Form templates Education settings may wish to use or the forms listed below according to their particular policies on supporting learners with healthcare needs. Form 1 ‒ Contacting emergency services Form 2 ‒ Parental agreement for education setting to administer medicine Form 3 ‒ Headteacher/head of setting agreement to administer medicine Form 4 ‒ Record of medicine stored for and administered to an individual learner Form 5 ‒ Record of medicines administered to all learners ‒ by date Form 6 ‒ Request for learner to carry/administer their own medicine Form 7 ‒ Staff training record ‒ administration of medicines Form 8 ‒ Medication/healthcare incident report
170329-healthcare-needs-annex2-v2-en.docx