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Abstract: . . . hc_4_asthma_allergies 6/16/04 Health Center Tel: (610) 399-7974 Fax: (610) 399-7810 4 2004-2005 Asthma & Allergies Please check ( ) the box that applies My childs asthma and/or allergy . . . . . . _______________________________________________ STUDENT PERMISSION TO CARRY EMERGENCY ASTHMA &/ OR ALLERGY MEDICATION This student has received the proper instruction . . . . . . MERGENCY ALLERGY T REATMENT List EMERGENCY medication(s) for allergies (including dose, route, & frequency). a. Benadryl _______________________________________ b. EpiPen . . . --776,3,129,1025,3880
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