Christ the King Catholic School

HEALTH INFORMATION FORM

HEALTH DIAGNOSIS

ALLERGIES

MEDICATIONS

BEHAVIORAL/MENTAL/EMOTIONAL DIAGNOSIS

STUDENT HEALTH INFORMATION

Medication that my be required by the student must be supplied by the parents along with a Medication Consent Form (from the school office) and brought to the school in the original container properly labeled with the name of the student and identification of the medication, the dosage and the time to be administered.

 
 

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