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Under the Weather Form - Secondary
Please complete this form when your child is not feeling 100% and we will keep an eye on them throughout the day.
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* Indicates required question
Child's Name
*
Your answer
Child's Tutor Group
*
Choose
7A
7R
7M
7F
7L
7D
8A
8R
8M
8F
8L
8D
9A
9R
9M
9F
9L
9D
10A
10R
10M
10F
10L
10D
11A
11R
11M
11F
11L
11D
Your relationship to the child
*
Your answer
Please describe how your child is feeling and the symptoms they have
*
Your answer
Is your child's illness related to a long standing illness they have?
*
Yes
No
If yes to the above, what illness/condition is it linked to?
Your answer
If your child has had medication, when did they last have it and at what time?
Your answer
What medication is required for the rest of the day and when?
Your answer
Does your child have health care plan in school?
*
Yes
No
Unsure
How would you like us to contact you if your child feels worse whilst at school? Please provide a number
Your answer
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