Boarding Student Medical Information and Consent

So the College has a full understanding of your daughter's medical history and needs, please complete the following medical information forms. 

Before completing these forms, please read the Notice Accompanying the Collection of Personal Data form that is issued by the College and available on Our Policies page of the website. To read the form, please click here. 

The following information sets out the procedures at the College for injury or illness. In order that we may treat your daughter appropriately, please fill in all the fields below and state any HEALTH ISSUES, MEDICAL ALERTS, SEVERE ALLERGIES, ANAPHYLAXIS OR SPECIAL NEEDS of which staff need to be aware (e.g. any severe allergy/anaphylaxis to nuts, seafood, dairy, insect bites, medication, latex; requiring use of EpiPen; diabetes; epilepsy; heart condition; asthma; etc) 

College Procedures in the Event of Injury or Illness 

The Health Centre has a Registered Nurse on duty from 8.00 am to 4.00 pm Monday to Friday.

Minor Ailments

  • The student will report to the Health Centre where her attendance will be recorded on the daily register, in personal medical records and attendance noted in the student’s handbook if presented. 
  • The College Nursing Sister or Director of Boarding (or her delegate) will assess and treat the student as required. If further care is required for boarders, they will be referred to appropriate health professionals. 

Minor Injuries 

  • Student to report to the Health Centre or Director of Boarding (or her delegate) where assessment and first aid will be administered. 
  • If the student is injured whilst playing sport, she should report to her coach/teacher in the first instance and then to the Health Centre. 
  • Treatments as above will be documented in the daily register and in personal medical records and attendance noted in the student’s handbook, if presented. 

Serious illness / injury requiring doctor or hospital

  • The parent/guardian will be contacted if at all possible according to the information held on the College database. 
  • First aid will be administered by the College Nursing Sister, or other staff members immediately present. 
  • The College Nursing Sister or Director of Boarding (or her delegate) will assess the student and, if required, the student will be transported to the doctor/hospital, physiotherapist or dentist. 
  • In an emergency or on the advice of an attending doctor, the student will be taken by ambulance or other suitable vehicle to the nearest available hospital. 
  • In the event of accident or sudden illness, there may be times when it is not possible to contact parents/guardians and in such circumstances the school staff member should obtain medical advice and authorise medical treatment including administering anaesthetic for operation if medical advice indicates it is necessary for the health and well being of the student. 

Medication Procedure 

  • It is imperative that the Health Centre staff be aware of all medications taken by students. 
  • Assistance will be given by the College Nursing Sister, Director of Boarding (or her delegate) in the administration of prescription medication when documentation is received from parents, or as ordered by the prescribing doctor. 
  • Instructions of change to the original dose must be in writing from prescribing doctor. 
  • Short term prescription medication will only be administered if the container states name and dose, and is labelled in the original container. 
  • Complementary therapies ordered by parents (in writing) may be stored at the Health Centre on behalf of the parents, but the student must self medicate; the College does not accept any responsibility for same. 
  • The College Nursing Sister will arrange for filling of prescriptions for boarders at a local pharmacy. 
  • All medications administered by the College Nursing Sister or any other staff member will be recorded.
  • Please click here to read PLC Sydney's 'Protocols for Medications'

Boarders are not permitted to keep any form of medication in dormitories other than asthma medication. All other medication must be handed to the College Nursing Sister or the Boarding House staff and this medication will only be administered by them. 

Non-Prescription of “Over the Counter” Medications

  • Due to Department of Health regulations (Pharmaceutical Branch), no medication may be given to boarding students unless authorised by parents in writing.
  • Any other medications will need to be supplied (in original container) to the Health Centre with the student’s name and instructions for use, and covering letter signed by the parents. 

No medication will be given without this authority except in an emergency. 

Please now complete the medical information form attached. There are two parts to this form. Once you have completed Section One, you will be redirected to Section Two

Section One: Medical Information - Boarders

Boarders Student Details
Parent/Guardian 1 Details
Emergency Contact
Medical Information
Non-Prescription Medications

The following non-prescription medications are held in the Health Centre for the treatment of minor conditions and illness: 

Paracetamol, Nurofen, Panadeine, Aspirin, Codral cold and flu tablets, Senegar (cough mixture), Throat gargles, Theatre lozenges, Gastrolyte, Mylanta, Stingoes, Visine eye drops, Sudafed, Cold sore cream, Anti inflammatory gels, Antifungal creams, Heat rubs, Hirudoid, Naprogesic, Mouth ulcer gels, Claratyne (for relief of minor allergies).

Please tick EACH MEDICATION which you authorise staff to administer to your child if required and sign below as giving your approval. 

Medications:

Please list below any other non-prescription medications that your daughter may need, and the name of the condition being treated. If you daughter requires these medications reasonably often (e.g. migraine, allergy, menstrual pain) please supply a small box of medication to the Health Centre with your daughter’s name, and with written instructions as to dosage and specific times for administration.

Medication to be held at Health Centre at parents’ request (this includes EpiPen (adrenaline), glucagon injection (for diabetes), Ritalin, Ponstan, etc

Medical Alerts

Please state briefly any HEALTH ISSUES, MEDICAL ALERTS, SEVERE ALLERGIES, ANAPHYLAXIS OR SPECIAL NEEDS  of which staff need to be aware (e.g. any severe allergy/anaphylaxis to nuts, seafood, dairy, insect bites, medication, latex; requiring use of EpiPen; diabetes; epilepsy; heart condition; asthma; etc)

This completes Section One of the medical information required. When you click the Submit button below, you will be redirected to Section Two.
Mandatory field(s) marked with *