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Medication Authority
Medication Permission
Marian College is following new guidelines for dispensing medication to students.
The following form is written permission for staff to administer paracetamol or
analgesics following a phone call to the student’s parents/guardian.
Without this written permission staff are not allowed to administer paracetamol or
analgesics even with your verbal permission.
I ____________________________________________________________
being the parent/guardian of
1. ___________________________________________________
2. ____________________________________________________
3. ____________________________________________________
4. ____________________________________________________
give my permission for staff at Marian College to dispense
Paracetamol tablet
Tablets (Number of tablets)
Analgesic tablets
Tablets (Number of tablets)
to my above named child/ren only after verbal permission from me is obtained.
This permission expires on 1 st March 2012
Parent/Guardian signature
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