Medical Information

This form is for members who need to let us know of any medical issues.
Medical Information
Is the child known to have any of the following conditions? if YES please fill in further information giving details of medications, and any they have to carry with them, and severity of problem etc
Please give us more details if applicable, how you or us can manage this in the event of an emergency.
Please give us more details if applicable, how you or us can manage this in the event of an emergency.
if yes do they carry their inhaler at all times? Have they been hospitalised after a severe attack? Do they need their inhaler before exercise ? etc
if yes do they carry Glucagon, do they get Hypos? etc
Please give us more details if applicable, how you or us can manage this in the event of an emergency.
Does your child have any learning or concentration difficulties which would make the following of instructions difficult?