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Saint Anne and Saint Charles Religious Education Program Medical Form 2017 2018 Students Name: Grade 1. Does he/she have a learning disability? Yes no If so, please explain nature of the disability.
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Anyone who is planning to take part in a recreational activity or event (referred to as 'rel') that requires medical information or clearance may need to fill out a medical form for rel. This can include sports activities, adventure trips, or any other event where there may be a risk to your health or safety.
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Information required includes the patient's details, types of medical services received, amounts charged, and dates of service.
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