Template A Individual Health Care plan – Name of school/setting name Child’s Group/class/form Date of birth address Child’s Medical diagnosis or condition Date Review date Family Contact Information Name Phone no. (work) (home) (mobile) Name Relationship to child Phone no. (work) (home) (mobile) Clinic/Hospital Contact Name Phone no. G.P. Name Phone no. Who is responsible for providing support in school Describe medical needs and give details of symptoms, triggers, signs, treatments, child’s facilities, equipment or devices, environmental issues etc Name of medication, dose, method of administration, when to be taken, side effects, administered by/self-administered with/without supervision
Template A – Individual Health Care plan Name of school/setting Child’s name Group/class/form Date of birth Child’s address Medical diagnosis or condition Date Review date Family Contact Information Name Phone no. (work) (home) (mobile) Name Relationship to child Phone no. (work) (home) (mobile) Clinic/Hospital Contact Name Phone no. G.P. Name Phone no. Who is responsible for providing support in school Describe medical needs and give details of child’s symptoms, triggers, signs, treatments, facilities, equipment or devices, environmental issues etc Name of medication, dose, method of administration, when to be taken, side effects, administered by/self-administered with/without supervision
Supporting%20pupils%20with%20medical%20needs%20policy%20(PF).docx