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RCW28A. 210. 320 A. Medical History Check the ones that apply to your child and describe under the comments section. ADD/ADHD Meds Hearing Problem Shunt Location Allergies See B below Right Ear Left Limitations Anxiety/Panic attack Ear Skin Condition Asthma mild mod Heart Condition severe Kidney/Urinary problem Speech Concerns Inhaler Learning Disabilities Vision Problems self-carrying inhaler glasses History of asthma Mental Health Condition contacts no symptoms for 1 yr Bleeding Disorder...

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