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Microsoft word - emergency procedure card

FAMILY NAME ________________________________________ Student ________________________________________Grade ___ Phone ______________________ Student ________________________________________Grade ____ Address_____________________________________________________________________________
IN CASE OF EMERGENCY OR EARLY DISMISSAL, PLEASE INDICATE WHO IS TO BE NOTIFIED
IN PRIORTY ORDER. (Please list on back of form those authorized to check out your child.)
( ) Mother ______________________________________Phone_________________________Cell_______________________ ( ) Father ______________________________________ Phone ________________________ Cell ______________________ ( ) Grandparent ________________________________ Phone________________________ Cell ______________________ ( ) Grandparent ________________________________ Phone________________________ Cell ______________________ ( ) Physician ____________________________________ Phone ________________________ ( ) Hospital _____________________________________ Phone ________________________ ( ) Other desired procedure_________________________________________________________________________________
E-mail Address____________________________________________________________________________________________
Important Numbers ________________________________________________________________________________________
Allergies _______________________________________ Chronic Conditions _________________________________________
May give ( ) Tylenol ( ) Benadryl ( ) Sudafed ( ) Other _________Child_____________________________
May give ( ) Tylenol ( ) Benadryl ( ) Sudafed ( ) Other _________Child_____________________________

EMERGENCY PROCEDURE FORM 20__ - 20__
FAMILY NAME ________________________________________
Student ________________________________________Grade ___ Phone ______________________ Student ________________________________________Grade ____ Address_____________________________________________________________________________
IN CASE OF EMERGENCY OR EARLY DISMISSAL, PLEASE INDICATE WHO IS TO BE NOTIFIED
IN PRIORTY ORDER. (Please list on back of form those authorized to check out your child.)
( ) Mother ______________________________________Phone_________________________Cell_______________________ ( ) Father ______________________________________ Phone ________________________ Cell ______________________ ( ) Grandparent ________________________________ Phone________________________ Cell ______________________ ( ) Grandparent ________________________________ Phone________________________ Cell ______________________ ( ) Physician ____________________________________ Phone ________________________ ( ) Hospital _____________________________________ Phone ________________________ ( ) Other desired procedure_________________________________________________________________________________ E-mail Address____________________________________________________________________________________________ Important Numbers ________________________________________________________________________________________ Allergies _______________________________________ Chronic Conditions _________________________________________
May give ( ) Tylenol ( ) Benadryl ( ) Sudafed ( ) Other ______________Child_______________________
May give ( ) Tylenol ( ) Benadryl ( ) Sudafed ( ) Other ______________Child_______________________

ADDITIONAL INFORMATION
Name ________________________________________________ Phone _______________________
Name________________________________________________ Phone________________________
Name ________________________________________________ Phone _______________________
Name________________________________________________ Phone________________________
Name________________________________________________ Phone________________________
PLEASE MAKE SURE THE FRONT IS MARKED FOR DISPENSING OF MEDICATION
ADDITIONAL INFORMATION
Name ________________________________________________ Phone _______________________
Name________________________________________________ Phone________________________
Name ________________________________________________ Phone _______________________
Name________________________________________________ Phone________________________
Name________________________________________________ Phone________________________
PLEASE MAKE SURE THE FRONT IS MARKED FOR DISPENSING OF MEDICATION

Source: http://www.westbrookchristianschool.org/documents/Emergency%20Procedure%20Card.pdf

February 2004 nl

H E A L T H A N D S T R E S S MORE ON , AGING, KEYWORDS: CRP, nonsteroidal anti-inflammatory drugs, beer bellies, "inflammaging", bad bosses,bullying, caregiver stress, survivor guilt, drug substitution. claims for heart disease on their labels. on a few topics we had previously focused onso that readers could "stay tuned" to thediabetics and one study suggests

X zr 226/02

BUNDESGERICHTSHOF IM NAMEN DES VOLKES PatG § 21 Abs. 1 Nr. 4, § 38; ZPO § 69 ein Ausführungsbeispiel der Erfindung beschreibenden Merkmalen nur eines in den Patentanspruch aufgenommen, das die mit dem Ausführungsbeispiel erzielte technische Wirkung angibt, liegt darin auch dann keine unzulässige Erweiterung, wenn ein anderer Weg zur Er-zielung derselben Wirkung nicht offenbart is

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