Form 8a: School Health Care Plan (Page 4 of 4) in pdf

Form 8a: School Health Care Plan Page 4

Page 4 of 4

Appendix 13

Form 8a: School Health Care Plan

Long-term health care requiring medication in school 'as required'

This Plan was reviewed on

and its contents agreed by the undersigned.

Date of next planned review:

Pupil's name:

Date of birth:

School:

Parent/carer

I wish my child to have the care detailed in this plan and I accept that the emergency services will

be summoned as required in the event that the school staff are unable to administer the plan at any

time where appropriate.

Name of parent/carer:

Signature:

Date:

Pupil (if appropriate)

I agree to the care arrangements as detailed in this plan.

Name of pupil:

Signature:

Date:

The head teacher/designated member of staff

I agree to the procedures detailed in this plan being administered in school in the event that these

procedures cannot be implemented at anytime the school will follow advice received from the

health professionals in summoning the emergency services where appropriate.

Name of member of staff:

Signature:

Date:

Copies held by parent/carer and head teacher.

City of Edinburgh Council and NHS Lothian

Form 8a: School Health Care Plan Page 4