Boarders - Somerville House
Boarders - Somerville House
Boarders - Somerville House
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2011 boardERS’ handbook<br />
BOARDER MEDICATION CONSENT FORM<br />
NAME<br />
YEAR<br />
I<br />
give permission for boarding staff<br />
to provide on request any one of the following medications to my daughter if her condition warrants it:<br />
Aleve 20 tablets<br />
Band Aid<br />
Betadine<br />
Calamine lotion<br />
Difflam<br />
Duro-tuss<br />
Emetrol<br />
(period pain)<br />
(antiseptic)<br />
(skin irritation)<br />
(gargle)<br />
(cough mixture)<br />
(nausea and vomiting)<br />
Stingose<br />
Strepsils<br />
Sunscreen<br />
Vaseline<br />
Ventolin<br />
Vicks or herbal vapour gel<br />
stings / insect bites)<br />
(insect bites)<br />
(sore throat)<br />
(prevention of sun burn)<br />
(chapped lips)<br />
(asthma)<br />
(inhalation chest rub<br />
for colds)<br />
Mylanta<br />
(upset stomach)<br />
Vosol<br />
(swimmer’s ear)<br />
Panadol tablets<br />
(pain relief)<br />
Soov<br />
(pain and itch relief for<br />
Parent / Guardian signature of consent<br />
/ /<br />
29<br />
somerville house 2011
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