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Información de Emergencia/Salud - Distrito Escolar Unifidado de Kenosha No
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Document Date: 2014-03-26 13:21:17

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File Size: 28,72 KB

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MedicalCondition

Wasps/Other Insects Latex/Rubber Allergies / seizure/epilepsy / CHILD’S HEALTH CONDITION IS POTENTIALLY LIFE THREATENING Attention Deficit Disorder / Allergies / Autism / Elevated Lead Level Diabetes / serious illness / Birth Defects / Cancer / Seizure Disorder / Nerve Disorders / Blood Disorder / Asthma / HIV/AIDS / /

MedicalTreatment

Organ Transplant / immunization / /

Organization

Kenosha Unified School District / /

Position

physician / Parent/Guardian Name City Middle Name ID# Dentist / Dentist / /

Technology

cellular telephone / /

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