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HEALTH HISTORY Please answer the following questions regarding the health history of your son or daughter. In order to best care for your child in the school setting, we need to understand his/her health record. All info
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Document Date: 2013-04-26 04:47:40


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MedicalCondition

mumps / measles / Tetanus (DPT) Or Tetanus / ST 2ND 3RD 4TH 5TH Chicken pox Polio / Tuberculosis / Whooping Cough / rubella / Diphtheria / /

MedicalTreatment

Speech Therapy / /

Person

Booster / Scarlet fever Rheumatic / /

Product

ANY MEDICATION / /

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