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Medical Information (Confidential)

Please take a few minutes to fill out this form. All fields are required unless they don’t apply to you/your child.

Step 1 of 2

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  • Emergency Contacts

    Please List 2 people other than parents
  • (Obtainable after 3 months in BC)
  • (Please note: all students MUST have adequate Medical insurance at all times. Private Medical Insurance is required until MSP coverage is obtained)
  • Please fill in dates of all past immunizations, including those given by doctor

  • You may have to contact your physician for a record if you do not have a copy of immunizations he/she has given your child. Please keep the health unit informed of any additional immunizations done after providing this record. The school's public health nurse would be pleased to discuss the student's immunization or any other health concern.