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FOR OFFICE USE ONLY DISTRIBUTION: School Office Main Office Homeroom: Asst. Principal, if applicable**Please check Yes or No to the following questions**CHRONIC ILLNESS/ALLERGY INFORMATION ** If Prescription
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Please check yes or is a form that needs to be completed to indicate whether a certain condition or requirement has been met.
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Anyone who is subject to the condition or requirement specified in the form is required to file it.
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