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Gateways – Medical Form

GATEWAYS - Medical Form 2024

This report is intended to assist the School in the case of any Medical Emergency with your child. All information is held in confidence. This report is kept on file. A copy may accompany the student if transport to a hospital or a local medical practice is required.

  • DD slash MM slash YYYY
  • Medical Information

  • Max. file size: 512 MB.
    Please upload any relevant supporting documents for the choices selected above, if they are applicable.
  • Medication Administration on Gateways

  • Do you consent to the following medications being administered on Gateways if required?