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Diabetic Order Not pump.pdf
Handle: Version-48045
Owner: Lane, Mariah (User-6926, 16068:EVERETT)DS
Wednesday, July 3, 2013 03:07:10 PM PDT
Thursday, July 18, 2013 08:19:02 AM PDT
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- Everett Public Schools Blood sugar at which parent/guardian should be notified: Health Services Low: _______ High: _______ Diabetic Order 5/07 Reviewed 4/10 RN: __________________________________ Date: _____________________ DIABETIC LHCP AUTHORIZATION/ORDER (RCW28A.210.320) 911 for seizure or loss of consciousness Student’: _s ____Na_____m__e________________________________ DOB: _________________ ID#: ________________ Grade: ___________________ Parent/Guardian: ____________________________________ Home Phone: _______________________ Work Phone: ____________________________ Cell Phone: ________________________________ E-Mail: ___________________________________________________ LHCP: _______...
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Appears In: Diabetic Order Not pump.pdf