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Medical Conditions Plan

Client Details

First Name*
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Last Name*
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Client Email*
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Child Details

First Name*
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Last Name*
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Medical Conditions Plan

A Medical Conditions Plan must be in place for every child with a diagnosed health care need or relevant medical condition. Please complete the below action plan for the relevant child below. If you have a specific action plan created by your doctor, please ensure you upload a copy with this form, so we can provide a copy your Educator.
Name of Medical Condition*
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Symptoms/what to look out for*
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List of child's usual medicines*
Please include name of medicines, doses, when to take each dose.
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Instructions on how the Educator should manage this condition*
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What to do in an emergency*
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Please upload any supporting evidence or documentation here*
5MB max file size. Allowed file types: jpg, jpeg, png, gif, pdf, docx
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By submitting this form you confirm that the above plan accurately reflects that of the child’s treating practitioners and that you will update as per policy guidelines.

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