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STUDENT HEALTH INFORMATION UPDATE 2014-2015 Wilson Creek School District PO Box 46 400 Navar Street Phone 509-345-2541 FAX 509-345-2288 The information below is to help staff understand any health concerns that might affect your child s safety or learning. STUDENT NAME First Middle DATE OF BIRTH Last Please choose Male Female Grade MEDICAL HISTORY Over the last school year my child developed the following health problem s Asthma Will need inhaler at school Seen in hospital/emergency room in...
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