Page 151 - calendar2019
P. 151
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
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
2. Is your child allergic to any kind of substance? Please specify:
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
3. Is your child on any medication? Please give details:
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
4. Please provide the prescribing/attending Doctor›s name and telephone number
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
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.
SCHOOL ALMANAC 2019 - 2020 145
