It is important that all children with medical conditions are supported to make sure that they are able to access their education. Some children with medical conditions may need care or medication to manage their health condition and to keep them well during the school day. Could you please complete the questionnaire below and return it to school as soon as possible so that we are able to assess your child’s health needs and make arrangements to support them if necessary. In order to ensure that any medical needs are appropriately met in school we may need to discuss your child’s health with the School Nursing service or another health professional who is involved in your child’s care.

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* 1. Name of child

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* 2. Date of birth

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* 3. Does your child have a medical condition/health concern?

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* 4. Does your child have a medical condition/health concern that needs to be managed during the school day?

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* 5. Does your child take medication during the school day?

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* 6. Does your child have a health care plan that should be followed in a medical emergency?

The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to the school to discuss this information with the School Nursing service or other health professionals who are involved in my child’s care. 

We treat all information provided in confidence and in accordance with the Data Protection Act 2018. We will use the information for the purpose of supporting your child’s medical needs within school, may share information with the School Nursing Service and are required by law to share information with Hampshire County Council and the Department of Education. A Privacy Notice can be requested from the School Office.


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* 7. Name of parent completing form

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