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Sept 25 Medical Condition Form - Only complete if your child has a medical condition the school should be aware of. 
If you answer YES to any of the questions please be sure to give details.
It is important that all children with medical conditions are supported to make sure that they are able to access their education. Some children with medical conditions may need care or medication to manage their health condition and to keep them well during the school day.
If your child has any medical condition we should be aware of please complete the form below.

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Email *
Child's full name *
Date of birth *
MM
/
DD
/
YYYY
Parent's name
Home Address *
Does your child suffer with allergies
If you answered YES please give details
Does your child have an epipen
If you answered YES please contact the school office to arrange appropriate paperwork and for an epipen to be left in school 
Does your child have asthma that requires an inhaler
If you answered YES please contact the school office to arrange appropriate paperwork and for an inhaler to kept in the office
Does your child have a health care plan that should be followed in an medical emergency
If you answered YES please give details
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This form was created inside of Long Ditton St Mary's Church of England Junior School.

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