Please list any medical issues your child may have, such allergies, existing illness,
previous serious illness, hospitalization, injuries during the past 12 months, any
medication prescribed for long-term continuous use, and any other information of which the staff should be aware. Children with chronic illnesses such as severe allergies or asthma, or those children with special circumstances, must have an individualized health care action plan on file from the child’s medical provider. Food allergy information will be shared with parents who provide classroom snacks so snacks containing those foods or ingredients will not be served in class. All allergies listed must have an action plan on file. If your child does not have any medical conditions or allergies, please indicate "None."