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Bancffosfelen C.P. School
Request to administer medicine at school
WE WILL NOT GIVE MEDICINE TO ANY CHILD WHO BRINGS
MEDICINE TO SCHOOL WITHOUT PRIOR PERMISSION. NameofChild
ConditionorIllness
NameofMedication
(asdescribedon
container)
Forhowlongwillwe
needtogivethe
medicine
Dosage
When
Special
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