Medical Emergency Form

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Does your child have any health concerns we should be aware of?
Is your child allergic to any food, medication or any substances?
Is your child on any medication(s) that needs to be administered by the Nurse during school hours?
Does your child have any history of anaphylactic reactions?
Does your child require any emergency action while he or she is in child care?
Is your child up to date on immunizations?
Do you consent to first aid non-prescription medications by the school nurse if the need arise?
You will NOT send your child to school if they are ill or contagious to other children?
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