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Parklands, Tel: 0151 338 2220

Little Sutton Fax: 0151 348 1738


Ellesmere Port,
!es!ire "## 3$L
"eadtea%!er: &rs $ Flanders
head@parklands.cheshire.sch.uk
admin@parklands.cheshire.sch.uk
www.parklands.cheshire.sch.uk
5
t!
Se'tem(er 2014
Dear Parents/Carers
We are updating the information we have about medical conditions children may have.
Please circle below if your child has any of the following. If they have any of the
conditions, please provide further details in the box below. member of staff may contact you
to discuss this further.
If your child has none of the following, please circle Not applicable.
Please return this form to school by Wednesday 10
th
September.
My child !name of child" has#
sthma
!c"ema
Diabetes
llergies
!pilepsy/similar condition
#egular medication for a medical condition
$ot applicable % $o &nown medical condition or regular medication
Further information please use this box to give us more information about your
childs condition/medication
'igned( ))))))))))))))))))))))))))))))))))))))Parent/Carer $ovember *+,-

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