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Medication Form – EYFS Childcare Medication Record (Printable PDF A4)

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This A4 Medication Form is designed for EYFS and childcare settings to record prescribed medication safely and accurately. The template includes sections for medication details, dosage, administration times, practitioner signatures, and parent/carer consent. It also features a full administration log to document each dose given, supporting safeguarding and clear communication with families.


Includes:

  • Child and doctor details
  • Medication name, dosage, time to be administered, and reason
  • Prescriber information
  • Full administration record with witness signatures
  • Parent/carer consent section
  • Practitioner confirmation section
  • Additional continuation page for extended medication records


Perfect for nurseries, preschools, childminders, and EYFS practitioners.


Instant download, printable PDF.

You will get the following files:
  • PDF (243KB)
  • PDF (245KB)