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Dev.isps.edu.tt

STUDENT HEALTH RECORD FOR REGISTRATION
Name _____________________________________________________________________________________________________ M F Date of birth _______________________________ Grade entering this year ______________________________ Parent’s/Guardian’s name _____________________________________________________________________________________________ Address _______________________________________________________________________________________________________________ Home telephone no. _________________ Cellular phone no. _________________ Office telephone no. _________________ In case of emergency call ____________________________________________________ Telephone ___________________________ Physician’s name ____________________________________________________________ Telephone ___________________________ In case of emergency, I authorise the school to use its judgment, if no authorised person listed above can be reached SIGNIFICANT MEDICAL HISTORY
Disease/Condition
immunization records or complete the table below.
Vaccination/Immunization
Allergies: ____________________________________________ _______________________________________________________ (Please specify if your child has specific medication and send it with dosage noted) Surgery ______________________________________________ _______________________________________________________ STUDENT HEALTH RECORD FOR REGISTRATION continued
Emotional or mental patterns of which the school should be aware of (Phobias, Anxieties, etc.) _______________________ Ethnic/Nutritional/Religious customs (helpful for field trips) __________________________________________________________ Most recent physical exam ____________________________________________________________________________________________ Medication your child takes on a regular basis _________________________________________________________________________ Restrictions on Physical Activity ________________________________________________________________________________________ BLOOD TYPE ________________________________ Group ___________________________ Rho ______________________________ COMMENTS ___________________________________________________________________________________________________________ CONSENT FOR “OVER THE COUNTER” MEDICATIONS
I give permission for my child, __________________________________________________________________________ , to receive anymedication I have indicated here below as deemed necessary by the school nurse. I understand that genericequivalent medications may be used in place of brand-name items.
PLEASE CHECK ANY “OVER THE COUNTER” MEDICATIONS YOU WISH TO BE MADE AVAILABLE TO YOUR CHILD
UNDER NURSING DISCRETION, DOSAGE DETERMINED BY AGE AND/OR WEIGHT
For headache/fever/muscle aches, menstrual cramps

Ibuprofen (like Advil, Motrin) – best for menstrual cramps, muscle/bone pain, For mild allergic reactions (such as hives, seasonal allergies)

For mild cold symptoms

For mild stomach discomfort

For mild skin irritation (insect bites, minor rashes, abrasions)

I do not want any medication given to my child in school
I understand that the above medications I have checked will be administered by the school nurse, or herdesignee.
Year ______________________________________________________________________________ Signature __________________________________________________________________________ _______________________________

Source: http://dev.isps.edu.tt/wordpress/wp-content/uploads/2012/12/health-record.pdf

Fabrication of 5 v lithium rechargeable micro-battery

Journal of Power Sources 132 (2004) 240–243Fabrication of 5 V lithium rechargeable micro-battery Electrochemical Research Center, P.O. Box 19395-5139, Tehran 15875-4416, Iran Received 11 October 2003; received in revised form 11 December 2003; accepted 2 January 2004 Abstract A 5 V lithium secondary cell was fabricated using LiFe0 . 5Mn1 . 5O4 cathode material with all-solid-state de

Asx release

MARKET UPDATE Santalis’ acne therapy to launch in Asia, USA and Australia under Dr. Ronald L. Moy’s new brand TFS Corporation Limited (TFS) is pleased to announce that its joint venture entity, Santalis Pharmaceuticals, Inc., has entered into an agreement to supply its over the counter (OTC) acne treatment kit for distribution under Dr. Ronald L. Moy’s new skin care brand. The ac

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