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/ Facility PORT PIRIE DIOCESE YOUTH ASSEMBLY YOUNG ADULT AGREEMENT Title / Port Pirie / / / MedicalCondition migraines / ALLERGIES / phobias / EPILEPSY PERIODIC LOSS OF CONSCIOUSNESS EAR DISORDER RESPIRATORY DISORDER / Tetanus / diabetes / sleep walking / Asthma / / Organization St Mark's College / Medicare / / Person Melissa Gadaleta / Bernadette Wauchope / / Position co-operative / Teacher / Street Mobile Phone Suburb MEDICAL INFORMATION Family Doctor Clinic Medical Specialist / / Product YES NO Medication / / Technology cellular telephone / /
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