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PLACE PICTURE Rename: D.O.B.: Allergy to: Weight: lbs. Asthma: Yes (higher risk for a severe reaction) None: Do not depend on antihistamines or inhalers (bronchodilators) to treat a severe reaction.
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Note do not depend is a form used to report information that is not dependent on other factors or variables.
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Note do not depend can be filled out by providing the relevant information in the designated fields on the form.
The purpose of note do not depend is to accurately report information that is not influenced by other factors or variables.
Information that is stand-alone and not dependent on other factors must be reported on note do not depend.
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