Abstract: . . .  MOORHEAD, MN CONCORDIA LANGUAGE VILLAGES CONCORDIA COLLEGE 901 8TH ST S MOORHEAD MN 56560-9981 POSTAGE WILL BE P AID BY ADDRESSEE Please fold on dotted lines and seal with tape. Health Business Replay 1/26/04 11:19 AM Page 2  . . .
. . .  day? __________________________________ How often each day? ______________________________________ Immunization History: Provide the month and year for each immunization. Starred ( ) immunizations must be current. General History: Check Yes or No for each statement This villager has had chicken pox or is immunized.................................................................................................... Yes No This villager has . . .
. . .  ...................................................................................................................................................................................................... ............ Continued Inside Return by May 1, 2004 to: Concordia Language Villages 901 8th St S Moorhead, MN 56562 We use this information to: (a) Brief kitchen staff about diet needs; (b) Educate counseling staff about villager needs; and (c) Provide healthcare staff with background about your child. Receiving adequate information at least four weeks prior to your childs arrival is crucial to our ability . . .
. . .  Page 6 NO POSTAGE NECESSARY IF MAILED IN THE UNITED STA TES BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO. 5 MOORHEAD, MN CONCORDIA LANGUAGE VILLAGES CONCORDIA COLLEGE 901 8TH ST S MOORHEAD MN 56560-9981 POSTAGE WILL BE P AID BY ADDRESSEE Please fold on dotted lines and seal with tape. Health Business Replay 1/26/04 11:19 AM Page 2  . . .
. . .  AM Page 1 Page 6 NO POSTAGE NECESSARY IF MAILED IN THE UNITED STA TES BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO. 5 MOORHEAD, MN CONCORDIA LANGUAGE VILLAGES CONCORDIA COLLEGE 901 8TH ST S MOORHEAD MN 56560-9981 POSTAGE WILL BE P AID BY ADDRESSEE Please fold on dotted lines and seal with tape. Health Business Replay 1/26/04 11:19 AM Page . . .
. . .  Page 6 NO POSTAGE NECESSARY IF MAILED IN THE UNITED STA TES BUSINESS REPLY MAIL FIRST-CLASS MAIL PERMIT NO. 5 MOORHEAD, MN CONCORDIA LANGUAGE VILLAGES CONCORDIA COLLEGE 901 8TH ST S MOORHEAD MN 56560-9981 POSTAGE WILL BE P AID BY ADDRESSEE Please fold on dotted lines and seal with tape. Health Business Replay 1/26/04 11:19 AM Page 2  . . .
--3000,6,250,3392,26386