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I understand that every effort will be made to contact me in such a situation. minor injuries and illnesses including administration of vaccinations such as tetanus influenza and/or meningitis. STUDENT HEALTH Jane T. Horton M. D. Matthew T. Crance PA-C Student Health Center Davis Residence Hall Phone 540 458-8401 Fax 540 458-8404 go. Wlu. edu/studenthealth MEDICAL CONSENT FORM FOR TREATMENT OF STUDENT UNDER AGE 18 Dear Parent or Legal Guardian The purpose of this consent form is to obtain...
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