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- Calendar
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CONSENT TO GENERAL TREATMENT AND TO FIRST AID

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CONSENT TO GENERAL TREATMENT AND TO FIRST AID

I /We
First Last
Name of Parent
Give consent for my / our child is
First Last
To receive first aid services provided at school by the school Matrons.
Class
He/ she may be given non-prescribed medicines to treat minor illness or injury such as
- Syrup/Tablet Analgesic (e.g.Paracetamol)
- Syrup/Tablet Buscopan
- Syrup/Tablet Anti-histamine/Allergic.Piriton/Loratyn-10
- Syrup Nurofen/Tablet Brufen
- Mistmagtrisilicate/Supermag
- ORS [Oral Rehydration Solution]
- Vitamin C Tablet
- Nasal Decongestant (e.g. Olbas oil)
- Throat Lozenges/Mouth Wash
- Neurogesic Cream
- Gentamicin Cream
- Mepisan Cream
- Deep Heat Spray
- Syrup Ventolin /Asmalyn/Ventolin Inhaler/Nebules
- Mouth Wash
- Syrup Benylin for Children
- Iodine (with tincture)
Please indicate the one your child is allergic to.
He/ she may not be given non-prescribed medicines to treat minor illness or injury such as
- Syrup/Tablet Analgesic (e.g.Paracetamol)
- Syrup/Tablet Buscopan
- Syrup/Tablet Anti-histamine/Allergic.Piriton/Loratyn-10
- Syrup Nurofen/Tablet Brufen
- Mistmagtrisilicate/Supermag
- ORS [Oral Rehydration Solution]
- Vitamin C Tablet
- Nasal Decongestant (e.g. Olbas oil)
- Throat Lozenges/Mouth Wash
- Neurogesic Cream
- Gentamicin Cream
- Mepisan Cream
- Deep Heat Spray
- Syrup Ventolin /Asmalyn/Ventolin Inhaler/Nebules
- Mouth Wash
- Syrup Benylin for Children
- Iodine (with tincture)
Please indicate the one your child is allergic to.
Date
MM slash DD slash YYYY

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Lagos – Nigeria.
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