Annual Medical Form
Name of Family Doctor: ______________________ Telephone: _____________
Please state if your child suffers from any medical condition that the school should be aware of.
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It is very important that you notify the school of any changes in this regard during the year.
If we are unable to be contacted in the event of an accident, we hereby authorize the school authorities to have our child attended by a doctor.
Signed: ________________________________ Date: ______________
All information will be treated as confidential.
Important: All forms to be returned immediately.