Permission to Administor Medication

Name of child receiving medication
The medication to be administered
The amount to be given
Ho often should to medicine be administered
Date to start administering medication
Date to finish administering medication. Leave blank if medication will be on-going
How the medicine be administered? Orally, topically or injection?
For example, should the medication be refrigerated or locked away?
Name of authorising parent
Any further details we need to know