Early Years
Medical Risk Minimisation Plan
See Early Years – Medical Conditions Procedure
Child’s Name:
Date of Birth:
Service:
Diagnosed Medical Condition:
Medical Action Plan received by service:
(please circle)
Yes / No
Date Medical Management Action Plan due to be reviewed (Annually):
MEDICATION:
Expiry Date: _______________________
Quarterly checks for date of expiry
on medication:
Date:
Date:
Date:
Date:
Signature:
Signature:
Signature:
Signature:
What are the allergens / conditions this risk assessment addresses?
Risk: What are the issues and/or the
actual/potential situations that could
add to the risk of a reaction occurring?
Strategy: What can be done about
these risks? What resources do you
need? What is the time frame for this
to occur?
EY31/03
Approval Date: June 2012
Next Review Date: Oct 2016
Who: Who needs to be included in the
process? Why?
Uncontrolled copy when printed
Page 1 of 2
Early Years
Medical Risk Minimisation Plan
See Early Years – Medical Conditions Procedure
I acknowledge that I have been consulted in the development of this plan for my child and support the implementation
of this plan in my child’s service.
Date completed:
Date to be reviewed:
Parent/Guardian Name:
Parent Signature:
Date:
Educator Signature:
Date:
CHANGES TO MEDICAL MANAGEMENT PLAN OR RISK MINIMISATION
EY31/03
Approval Date: June 2012
Next Review Date: Oct 2016
Uncontrolled copy when printed
Page 2 of 2