Medical Permission Form

PERMISSION TO ADMINSTER FIRST AID TREATMENT FOR MY CHILD

I consent to the administeration of first aid treatment when required for my child
prior to arrival at the hospital or doctor’s surgery, if this means that such treatment
saves distress, pain or even a life.

I understand that I will be contacted immediately if this should arise,

and that it is my responsibility to inform them of any change in this
decision.

Infant Paracetamol/pain relief/teething medication

I give consent to Jolly Rascals to give Infant paracetamol/pain relief/teething

medication to my child at such a time deemed necessary by the childminder,

This will be provided by us when our child is suffering from teething or any other
other minor illness where they are able to attend the setting.

I will inform my childminder if this has been given before my child comes to the
setting along with the time so my childminder can log this along with the times given
by her.

In the event that my child becomes unwell during the session I give permission for
Jolly Rascals to give their own infant paracetemol/Pain relief to my child if deemed
necessary. parents will be notified as soon as possible

It is my responsibility to inform Jolly Rascals if my child becomes allergic to any

medication as soon I find out in order for my childs records to be updated

Prescribed medication

I give permission for my child to be given their prescribed medication if needed to by

Jolly Rascals

I am aware that this needs to be prescribed by a doctor and to have my child’s name
on the bottle, otherwise it cannot be administered.

I will fill in a consent form containing all details of the medication, for each
medication prescribed and for each individual illness

In an emergency

I give permission for any emergency advice or treatment to be given as considered

necessary by medical authorities present if Jolly Rascals has deemed it necessary to
seek this medical advice or treatment.

Consent is given for Jolly Rascals to seek medical attention if required.

I confirm that I have read and fully understand all the above mentioned permissions
and fully agree to those that are not crossed through.

Parents name(s):
_______________________________________________________________

Parent’s signature(s):
_____________________________________________________________

Date: ___________________

Jolly Rascals, 7 Heol Gwyndaf, Llanishen , Cardiff, CF145QB, Tel:07506390600