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Medical Alert Form V12.pst
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<PSReportTemplate>
<FileHeader>
<Created>Tuesday, June 22, 2021 9:15:22 AM</Created>
<PSVersion>(VisualPST 3.2.1,)</PSVersion>
<TemplateVersion>1.0</TemplateVersion>
<Author></Author>
</FileHeader>
<ReportHeader>
<Type>Object Report</Type>
<Name>Medical Alert Form</Name>
<Table>Students</Table>
</ReportHeader>
<ReportData>
<Units>Inches</Units>
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<Size>Letter</Size>
<Width>8.5</Width>
<Height>11</Height>
<Orientation>Portrait</Orientation>
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<Leading>13</Leading>
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<Top>1.638</Top>
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<Picture>studentphoto</Picture>
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<Leading></Leading>
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<Text><b><u>Student Medical Alert Form - ^(yearname)</u></b></Text>
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<Type>Text</Type>
<Label>.8.Student Name</Label>
<Page></Page>
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<Leading></Leading>
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<Text><b>^(LAST_NAME), ^(First_Name)</b></Text>
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<Label>.9.Text</Label>
<Page></Page>
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<Body>
<Font>
<Face>Helvetica</Face>
<Size>12</Size>
<Leading></Leading>
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<Text><b>Grade: </b>^(Grade_Level)<b>Home Room: </b>^(Home_Room)<b>Student Number: </b>^(Student_Number)<b>D.O.B.: </b>^(DOB)<b></b><i>(MM/DD/YYYY)</i><b>Age:</b> ^(age) <b>Gender: </b>^(Gender) <b>Address: </b>^(Street) ^(City), ^(State), ^(Zip)</Text>
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</Object>
<Object no="11">
<Type>Text</Type>
<Label>.A.Home Phone #: </Label>
<Page></Page>
<Layer>0</Layer>
<Coordinates>
<Left>5.11</Left>
<Top>1.302</Top>
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<MaxWidth>0</MaxWidth>
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<Body>
<Font>
<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
<Bold>True</Bold>
</Font>
<Text>Home Phone #: ^(Home_Phone)</Text>
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<Type>Text</Type>
<Label>.B.Text</Label>
<Page></Page>
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<Coordinates>
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<MaxHeight>0</MaxHeight>
<Body>
<Font>
<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
</Font>
<Text>Doctor: ^(Doctor_Name)</Text>
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</Object>
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<Type>Text</Type>
<Label>.C.Text</Label>
<Page></Page>
<Layer>0</Layer>
<Coordinates>
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<MaxWidth>0</MaxWidth>
<MaxHeight>0</MaxHeight>
<Body>
<Font>
<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
</Font>
<Text>Doctor #: ^(Doctor_Phone)</Text>
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</Object>
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<Type>Text</Type>
<Label>.D.Text</Label>
<Page></Page>
<Layer>0</Layer>
<Coordinates>
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<MaxWidth>3.6</MaxWidth>
<MaxHeight>0</MaxHeight>
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<Font>
<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
</Font>
<Text><b>Medical Alert</b>
Epi-Pen Required (EPIY=Yes, EPIN=No): ^(StudentCoreFields.allergies)
Allergy: ^(Alert_Medical)</Text>
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<Type>Text</Type>
<Label>.E.Text</Label>
<Page></Page>
<Layer>0</Layer>
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<MaxWidth>3.3</MaxWidth>
<MaxHeight>0</MaxHeight>
<Body>
<Font>
<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
</Font>
<Text><b>Special Medical Considerations</b>
^(StudentCoreFields.medical_considerations)</Text>
</Body>
</Object>
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<Type>Text</Type>
<Label>.F.Text</Label>
<Page></Page>
<Layer>0</Layer>
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<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
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<Text><b>Student Contact Information</b></Text>
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<Font>
<Face>Helvetica</Face>
<Size>14</Size>
<Leading></Leading>
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<Text>^(*contact_info;which-pers=1;cat=dem;val=firstname;) ^(*contact_info;which-pers=1;cat=dem;val=lastname;) [<i>^(*contact_info;which-pers=1;cat=rel;val=relationship)</i>]
^(*contact_info;which-pers=1;cat=phone;which-val=all;val=type,phone;item-delim=br)</Text>
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<Text>^(*contact_info;max-pers=all;which-pers=2;cat=dem;val=firstname;) ^(*contact_info;max-pers=all;which-pers=2;cat=dem;val=lastname;) [<i>^(*contact_info;max-pers=all;which-pers=2;cat=rel;val=relationship)</i>]
^(*contact_info;max-pers=all;which-pers=2;cat=phone;which-val=all;val=type,phone;item-delim=br)</Text>
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<Text>^(*contact_info;max-pers=all;which-pers=3;cat=dem;val=firstname;) ^(*contact_info;max-pers=all;which-pers=3;cat=dem;val=lastname;) [<i>^(*contact_info;max-pers=all;which-pers=3;cat=rel;val=relationship)</i>]
^(*contact_info;max-pers=all;which-pers=3;cat=phone;which-val=all;val=type,phone;item-delim=br)
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<Text><b>Medical Information</b></Text>
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<Text>Date Printed: ^[short.date]</Text>
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