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Get Child Health Report 1999-2024

________________________ Address of Parent of Guardian ________________________________________________________________ A. Medical History (May be completed by parent) 1. Is child allergic to anything? No___ Yes___ If yes, what? 2. Is child currently under a doctor's care? No___ Yes___ If yes, for what reason? 3. Is the child on any continuous medication? No___ Yes___ If yes, what? 4. Any previous hospitalizations or operations? No___ Yes___ If yes, when and for what? 5. Any history of significa.

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