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MEDICAL RECORD OF CHILD


           I. Is there any special area of medical concern relating to your child?
           Please describe below so that special precautions may be taken

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           2. Is your child allergic to any kind of substance? Please specify:

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           3. Is your child on any medication? Please give details:

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           4. Please provide the prescribing / attending Doctor(s) name and telephone number

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           Important Note:
           •    Please do NOT send any medication to school with your child. This may inadvertently be
                consumed by other children.

           •    Please do NOT send your ward to school when he/she is sick.
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