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Childs Preadmission Record Dhr 2006-2022: get and sign the form in seconds

Childs Preadmission Record Dhr 2006-2022: get and sign the form in seconds

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As beeper cellular phone etc* Instructions regarding how parent/guardian may be reached in an emergency Person s to be contacted in an emergency if parent s /guardian s cannot be reached Name Relationship to child Address Telephone number Name of child s doctor Emergency Authorization I give permission for the child care facility to obtain emergency medical treatment including emergency transportation for my child if I cannot be reached immediately. I agree to be responsible for any emergency...
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