Clarification Circular - Regarding LLM Course - Kuvempu University

Clinic/Hospital contact:Doctor’s name:Tel No:Clinic/Hospital name:GPDoctor’s name:Tel No:Surgery name:Describe medical needs and medications, and give details of child’s symptoms:Describe care requirements (e.g. before sport, at lunchtime etc.):Describe what constitutes an emergency for the child, and the action to take if this occurs:Follow up care:Who is responsible in an emergency (state if different for off-site activities)?Name:Work tel: Home tel: Mobile tel:Signed: ………………………………………………….Name: …………………………………….(please print)OFFICE USE ONLY: Date info received: ……………………. Review date: ……………………..Form copied to: 1. SIMS and school file 2. Senior First AiderThe Cottesloe is committed to safeguarding and promoting the welfare of young people