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Medical information
Name of child: Jessica McDonald
Family doctor
Name: Dr Jay Plain Address: Twin Peaks Medical Centre, 5 Blankency Rd, Twin Peaks, 6778 Telephone: 9778 8900
Medicare Card no: 333456188609
Allergies/conditions: Nil
Signatures sighted by Cybertots staff member? Yes
NOTE: Refer to original form for full details.