Nursery medicine consent form and dose record

A free printable medicine consent form for nurseries, with a record of every dose given. Prescribed and non-prescribed medicines.

What's on it

Required by the EYFS paragraphs 3.61–3.62 (childminders 3.60–3.61)

The parent’s written permission for this medicine
If prescribed, who prescribed it
A record of each dose given
When the parent was told about each dose

Good practice

The medicine’s strength, the dose and how it is given
When it is given, and the dates
The last dose given at home
Who gave each dose, and who checked it

What the EYFS asks for

The EYFS asks for written permission from a parent for each medicine before it is given, a written record every time, and for the parent to be told the same day. Prescription medicines only when prescribed for that child by a doctor, dentist, nurse or pharmacist.

Read the guide: Giving medicine in a nursery: consent, records and the rules →

Skip the paper: it’s easier in Coat Peg

The same record, kept on the room’s device as you go, with nothing to print, file or chase.

The parent gives consent in their own app, so there is no form to chase at the door.
Each dose is checked against the consent, the dates, the minimum gap and the daily maximum as it is recorded.
The parent is told about each dose the moment it is recorded.

Try it free See how it works →

Every feature, free with one child, for as long as you like.

More free templates

Nursery accident and incident report form Accidents, incidents and injuries on arrival, with first aid and the parent told. Nursery daily register template Who was in, their key person, arrival and leaving times, and absences. Nursery daily diary sheet Meals, sleep, nappies and their day, on one sheet for home time.