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Phone number *Paren signature denotes permission to share the above student's medical information with staff on a need-to-know basis. *Paren signature gives permission to speak to

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Page 1: Phone number *Paren signature denotes permission to share the above student's medical information with staff on a need-to-know basis. *Paren signature gives permission to speak to
Page 2: Phone number *Paren signature denotes permission to share the above student's medical information with staff on a need-to-know basis. *Paren signature gives permission to speak to
Page 3: Phone number *Paren signature denotes permission to share the above student's medical information with staff on a need-to-know basis. *Paren signature gives permission to speak to