Skip to content ↓

A Primary Trust for Primary Schools

Lumen Learning Trust

Riverbridge Primary School

Riverbridge Pupil Medication Request

Where possible the need for medicines to be administered at school should be avoided. Parents are therefore requested to try to arrange the timing of doses to avoid lesson time and the subsequent impact on your child's learning.
We will administer medicines to your child as close as possible to the requested time.

Once submitted, a copy of this form will be sent to your supplied email address for your records.

Please tick the box if you agree to:*
Please tick the box if you agree to:*
 Name of medicineDosageTime of day requiredCompletion date of course
Medicine 1
Medicine 2
Medicine 3
Medicine 4