Administration of Medication: Daily Dosage of an Individual Child Appendix 2
(First dose must always be given by Parent)
Child`s Name …………………………………………………..
Date | Time | Type and dosage of medicine | Time last given by parent/carer | Dosage accepted? Any further action | Signature of member of staff administering drug
Please also print name |
Signature of witnessing member of staff
Please also print name |
Parent`s signature
Please also print name |
Monthly Review of Administration of Medicines Appendix 3
Child`s Name | Date medication began | Time of last dose | Reason for medicine being administered | Review of medication
Sign and Date: Please also print name |
Medication returned to parent or n/a
Date |