Child Health Care Plan



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EMERGENCY CARE CALL PARENTS/GUARDIANS if the following symptoms are present: CALL 911 (EMERGENCY MEDICAL SERVICES) if the following symptoms are present, as well as contacting the parents/guardians: TAKE THESE MEASURES while waiting for parents or medical help to arrive: SUGGESTED SPECIAL TRAINING FOR STAFF Health Care Provider Signature Date PARENT NOTES (OPTIONAL) I hereby give consent for my child’s health care provider or specialist to communicate with my child’s child care provider or school nurse to discuss any of the information contained in this care plan..

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