Authorisation – Panadol and Other Pain Relief

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Authorisation  – Panadol and Other Pain Relief

Child’s name                      ______________________________________________________________

 

Name of medication        ____________________________________________________________

 

I authorise application of the product listed above to my child in accordance with the instructions contained on the product, service policies and recognised best practice guidelines if my child has a fever.

I understand that:

  • if a medical practitioner prescribes Panadol or an alternative pain relief medication for a specific illness this authorisation will cease to apply while the prescribed pain relief is administered
  • in all other cases this authorisation will remain current for 12 months unless I advise the Nominated Supervisor in writing that I’m withdrawing it

 

Parent’s Signature           _____________________________                   Date      ______________

Parent’s Name                  _____________________________

 

Parent’s Signature           _____________________________                   Date      ______________

Parent’s Name                  _____________________________

                               

 

 

 

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