Individual Health Care plan for Category (II) Medications
Please fill in this form if your child has a prescription (such as asthma inhalers, epilepsy medication and so on) or non prescription (lanolin cream, antihistamine etc) that is used for the ongoing treatment of a pre diagnosed condition (such as asthma, epilepsy, allergic reaction, diabetes, eczema and so on).
This medication must be provided by you, for the use of your child only. If your child has more than one medication condition, please fill in multiple forms.
You will be asked to review this health care plan every three months by a member of our management team and you will need to re-fill in this form if there are any changes you wish to make.
Arohanui,
Your Old Mac’s whaanau.