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Emergency Medical Form Olentangy Local Schools Olentangy K12 Oh
OLENTANGY LOCAL SCHOOLS EMERGENCY MEDICAL AUTHORIZATION FORM Student Name Birth Date Grade Address Student lives with City/Zip Code Home Phone Number PARENT/GUARDIAN S AND EMERGENCY CONTACTS Call Order Relationship Name Day Phone Home Phone Cell Phone Can Pick Up Please indicate if your child has any of the following 1 Allergies please list 2 Medications please list 3 Inhalers please list 4 Other medical concerns or conditions to which medical personnel should be alerted Use and/or possession...
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