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JEFF TECH576 VO Tech Road Reynoldsville, PA 15851 (814) 6538265 FAX (814) 6538425Student Health History Form 20202021 Dear Parent/Guardian, To ensure proper medical treatment at school, we rely on

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1. Start by reading the instructions on the form or document.
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4. Follow any specific formatting guidelines provided on the form.
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6. Sign and date the form where necessary.
7. Make a copy of the filled-out form for your records before submitting it.

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4. Individuals involved in legal matters, such as applying for a marriage license or filing for divorce, will need to fill out public forms as part of the process.
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