Hewetson ES-Clark County School District Student Health Information

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Hewetson ES-Clark County School District Student Health Information

Please complete the following form updating school health office personal and other school staff about your child's health condition(s). Health information will be kept in a confidential location and provided to appropriate school staff members as necessary to facilitate a safe, supportive environment. Please notify the health office of any changes in your child's health.

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* Indicates required question

Student Last Name *

Your answer

Student First Name *

Your answer

Student Number (if you don't know your students number, leave blank)

Your answer

Student's Date of Birth *

Your answer

Grade Level *

Your answer

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