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NEW MEXICO ASTHMA ACTION PLAN FOR SCHOOLS School District Date School Name School Nurse / Health Asst. School Phone # / FAX # / PARENT/GUARDIAN: Please complete the information in the top sections
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Date of birth student is the birth date of a student.
Parents or legal guardians are required to provide the date of birth of their child/student.
Date of birth student can be filled out by entering the day, month, and year of the student's birth.
The purpose of date of birth student is to accurately identify and track the age of the student for academic and administrative purposes.
The information reported on date of birth student must include the student's full birth date, including day, month, and year.
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