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调查结果摘要（检查一）：□孩子好； no conditions identified of concern to school program activities □Conditions identified that are important to schooling or physical activity (complete sections below and/or explain here): _____________________________________________________________________________________________ ____ Allergy: □ food:_________□ insect:_______________ □ medicine:_________ □ other:____________ Type of allergic reaction: □ anaphylaxis □所需的局部反应反应：□无□肾上腺素自动注射器□其他：： _____________________________________________________________________________________活动的活动指定：： __________________________________________ ____药物。儿童服用特定健康状况的药物。□必须在学校服药和/或提供药物。____特殊饮食指定：____________________________________________________________________________________________________________
MCH213G_SCHOOL_ENTRANCE_FIL ...
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