Attention: School Principal Date:
Attention: School Principal Date:
Name of Parent/Guardian
Report of Communicable Diseases in the School
The diagnosis of communicable diseases is as follows:
|Student's Name |Grade: Class: |
|Medical Organization | |Date of consultation: |
|Name: | | |
| Name of Disease (please check the □) |
|Type 1 |□ Ebola Hemorrhagic Fever |
| |□ Crimean Congo Hemorrhagic Fever |
| |□ Smallpox |
| |□ South American Hemorrhagic Fever |
| |□ Pestilence |
| |□ Marburg Hemorrhagic Fever |
| |□ Lassa Fever |
| |□ Acute Poliomyelitis |
| |□ Diphtheria |
| |□ Severe Acute Respiratory Syndrome |
| |□ Avian Influenza |
|Type 2 |□ Influenza |
| |□ Pertussis |
| |□ Measles |
| |□ Epidemic Parotitis (Mumps) |
| |□ Rubella |
| |□ Chicken Pox |
| |□ Pharyngoconjunctival Fever (PCF) |
| |□ Tuberculosis |
|Type 3 |□ Cholera |
| |□ Bacillary Dysentery |
| |□ Enterohemorrhagic Escherichia Coli |
| |□ Abdominal Typhus (Typhoid) |
| |□ Paratyphoid Fever |
| |□ Epidemic Keratoconjunctivitis (EKC) |
| |□ Acute Hemorrhagic Conjunctivitis (AHC) |
| |□ Other Communicable Diseases |
| |□ Hemolytic Streptococcal Infection |
| |□ Hand, Foot and Mouth Disease |
| |□ Mycoplasma Pneumonia |
| |□ Others |
| |( ) |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- nyc school principal salary
- public school principal contracts
- nyc high school principal salary
- sample school principal contract
- school principal contracts
- elementary school principal contract
- elementary school principal duties
- elementary school principal jobs
- nyc public school principal salary
- school principal job openings
- high school principal job description
- elementary school principal job description