Visiting Pupil’s Medical Details

* indicates required field

If you have answered Yes to any of the above, please give full details or, you may wish to contact the School Nurse directly, see email address and phone number below

If you have answered Yes, please supply the name of the medicine, how often it is used and why.


To the best of my knowledge and belief the above information is correct at the time of signing.

I consent to appropriately trained staff to administer approved over-the-counter remedies and prescribed medication authorized by the Medical Centre, where appropriate.

I consent to emergency medical, dental and optical treatment if necessary.

Sixth Form Open Evening

Wednesday 25th September

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