• CADET HEALTH INFORMATION FORM

    DANIEL BOONE HIGH SCHOOL MCJROTC
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  • INSURANCE INFORMATION IS NOT REQUIRED, BUT MAY BE NEEDED TO OBTAIN NON-EMERGENCY CARE

    • Does the cadet have a documented history of or does he/she currently have any of the following:  
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    • Please provide an explanation for any item marked yes above (Other than the wearing of glasses/contacts):

    • Is the cadet required to take medication prescribed by a physician? If so, indicate the medication by name and the disorder it is intended to treat.

    • Is the cadet required to take medication prescribed by a physician? If so, indicate the medication by name and the disorder it is intended to treat.  
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    • Enter limitations requiring doctor's note here  
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    • Clear
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    • Should be Empty: