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List and explain any restrictions dietary physical etc The following over the counter medications may be administered to my child without contacting me Antihistamine Pill Acetaminophen Tylenol Antacid Decongestant Ibuprofen Advil Dramamine Hydrocortisone Cream Polysporin topical antibiotic MEDICAL TREATMENT All information provided on this form is correct and complete to the best of my knowledge. Setting off fire alarms tampering with fire extinguishing and other emergency equipment are...
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