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BASIC EDUCATIONAL DATA SYSTEM PUBLIC SCHOOL DATA FORM FALL 2017 SCHOOL NAME AND Codes paper form should not be returned to USED. This paper form must only be used for the local gathering of data.

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Start by writing your personal information such as your name, address, and contact details in the designated fields.

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Provide details of your medical history, including any previous illnesses, surgeries, or medical conditions.

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Fill in the section about your allergies, if any. Mention any known allergies to medications or substances.

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In the next section, outline your emergency contact details. Include the name, relationship, and contact number of the person(s) to be notified in case of an emergency.

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If applicable, provide information about your healthcare insurance coverage.

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Ultimately, anyone who is receiving or seeking nursing care can be asked to fill out nursing form 1 in order to ensure the provision of appropriate healthcare services.

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