To be completed by the HEALTH PROFESSIONAL and the PARENT/GUARDIAN and/or ADULT STUDENT/CLIENT for a child/student/client who requires individual first aid assistance.
And will require the following first aid response when these symptoms/reactions are observed.
I have read, understood and agreed with this plan and any attachments indicated above. I approve the release of this information to supervising staff and emergency medical personnel.
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It is very important that you let these people know that you have nominated them. In nominating them you give them authority to act on the child's behalf if neither parent can be located, to pick up the child in an emergency and care for the child until she can be returned home.
The people nominated have been given approval ONLY to collect the child and should NOT be contacted in an emergency.
Does the parent/guardian/carer of this child have any of the following?
If this child attends another funded Preschool program please complete the following: