2020 New Student Medical Information Form ~ One Form per Student Required

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Please complete this form regarding your child's medical status. The College is committed to the personal and individual care of each student and this information will allow us to update our records, and ensure we have appropriate documentation regarding care for our students.

Should any of the details supplied on this form change, please notify the College Office promptly in writing.

Parent First Name and Surname *

Student Surname *

Student First Name *

Academic Year/Year of Entry e.g. 7/2020 *

Has your child's medical status changed since you completed the Enrolment Application. I.e. have they acquired or no longer suffer from a medical condition, has there been a change in their condition/diagnosis/medication or an updated Action Plan? *

Yes

If yes, please outline any changes to your child's medical condition, including diagnosis and medications applicable. Changes may require a new Action Plan and medication to be supplied to the College.

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