Mais les résultats doivent être attendus longtemps et il n'y a généralement pas de temps amoxicilline prix L'autre cas, c'est que l'achat d'un ou d'un autre antibiotique dans une pharmacie classique nécessite des dépenses matérielles considérables et pas toutes les personnes ne peuvent acheter des produits pharmaceutiques aussi coûteux.

Medical form

ASHLEY RIDGE HIGH SCHOOL BAND, Summerville, SC
2013-2014 CONSENT FOR MEDICAL TREATMENT
TO WHOM IT MAY CONCERN, I, the undersigned parent or guardian of:
Hereby grant authorization to the Band Director or any chaperone of the Ashley Ridge High School Band Boosters, to obtain any emergency medical and/or surgical procedures from a physician or hospital emergency room physician on behalf of the above named minor.
Signature____________________________________________________________________Date / /
Parent’s Printed Name____________________________________________________________________________
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Address________________________________________________________________________________________
Father’s Name_____________________________________________Work Phone___________________________
Place of Work____________________________________________Title___________________________________
Mother’s Name___________________________________________Work Phone____________________________
Place of Work____________________________________________Title___________________________________
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ALTERNATE TO NOTIFY IN CASE OF EMERGENCY NAME_________________________________________________________________________________________
Relationship____________________________________________________Phone___________________________
City_________________________________________________State_______________Zip____________________
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FINANCIAL CONSIDERATIONS
For and in consideration of emergency services and goods rendered by or through the attending physician(s), the undersigned hereby guarantees payment in full, immediately upon receipt of the final billing.
SIGNATURE___________________________________________________DATE___________________________
2013-2014 MEDICAL INFORMATION
Parents____________________________________________________________Policy #:
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PLEASE COMPLETE THE QUESTIONS BELOW. It is imperative that we have medical information in
order that we may care for the student in case of emergency.

DOES THE STUDENT HAVE ANY CHRONIC HEALTH PROBLEMS?________________________
_______________________________________________________________________________________
IS THE STUDENT ALLERGIC TO ANY MEDICATIONS?___________________________________
________________________________________________________________________________________
DOES HE / SHE HAVE ALLERGIES?______________________________________________________
________________________________________________________________________________________
IS HE / SHE CURRENTLY TAKING ANY MEDICATIONS?__________________________________
________________________________________________________________________________________
WHAT IS THE DATE OF THE STUDENT’S LAST TETANUS SHOT?__________________________
________________________________________________________________________________________
PLEASE LIST ANY ADDITIONAL PERTINENT INFORMATION_____________________________
________________________________________________________________________________________
FAMILY PHYSICIAN_____________________________________________________________________________ TELEPHONE ADDRESS__________________________________________________________________________ In case of minor illness, the Ashley Ridge High School Band Director or chaperones of the Band Boosters have my permission to give over the counter drugs such as, but not limited to Tylenol, Maalox, Sudafed, Ibuprofen or Dramamine to my son / daughter.

Source: http://www.arhsbands.org/wp-content/uploads/2013/08/Medical_Form.pdf

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