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Get Emergency Card For School

Be worn at all times: Date of last exam: Physician name: Physician name: 3. Any condition(s) which teachers need to be aware of such as (please check): Seizures Asthma Allergies Allergic Reactions to Bee Stings List Medication prescribed: Does the drug need to be taken during school hours? Yes Fainting Spells Prescribed by Physician name: ADD/ADHD Diabetes For (diagnosis): (comments): 4. Has physical condition which limits participation in classroom activities: If checked, please expl.

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