Specific Medical Information. The Parish will take reasonable care to see that the following information will be held in confidence. Chronic Conditions (e.g. Epilepsy; Diabetes) Allergic Reactions (e.g. Food, medications, plants, etc.) Dietary Restrictions Immunizations: Date of last tetanus/diphtheria immunization: Any physical limitations? Has the Participant recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox, etc.? If so, list date and disease or condition: You should be aware of these special medical conditions of the Participant:
Appears in 16 contracts
Samples: Release and Indemnification Agreement, Release and Indemnification Agreement, Release and Indemnification Agreement
Specific Medical Information. The Parish will take reasonable care to see that the following information will be held in confidence. Chronic Conditions (e.g. Epilepsy; Diabetes) : Allergic Reactions (e.g. Food, medications, plants, etc.) Dietary Restrictions Immunizations: Date of last tetanus/diphtheria immunization: Any physical limitations? Has the Participant recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox, etc.? If so, list date and disease or condition: You should be aware of these special medical conditions of the Participant:
Appears in 3 contracts
Samples: Release and Indemnification Agreement, Release and Indemnification Agreement, Release and Indemnification Agreement
Specific Medical Information. The Parish will take reasonable care to see that the following information will be held in confidence. Chronic Conditions (e.g. Epilepsy; Diabetes) Allergic Reactions (e.g. Food, medications, ,plants, etc.) Dietary Restrictions Immunizations: Date of last tetanus/diphtheria immunization: Any physical limitations? Has the Participant recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox, etc.? If so, list date and disease or condition: You should be aware of these special medical conditions of the Participant:
Appears in 2 contracts
Samples: Release and Indemnification Agreement, Release and Indemnification Agreement
Specific Medical Information. The Parish will take reasonable care to see that the following information will be held in confidence. Chronic Conditions (e.g. Epilepsy; Diabetes) Allergic Reactions (e.g. Food, medications, plants, etc.) Dietary Restrictions Immunizations: Date of last tetanus/diphtheria immunization: Any physical limitations? Has the Participant recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox, etc.? If so, list date and disease or condition: You should be aware of these Any special medical conditions of the Participant:
Appears in 2 contracts
Samples: And Indemnification Agreement, Release and Indemnification Agreement
Specific Medical Information. The Parish will take reasonable care to see that the following information will be held in confidence. Chronic Conditions (e.g. Epilepsy; Diabetes) Allergic Reactions (e.g. Food, medications, plants, etc.) Dietary Restrictions Immunizationslmmunizations: Date of last tetanus/diphtheria immunization: Any physical limitations? Has the Participant recently been exposed to contagious disease or conditions, such as mumps, measles, chicken pox, etc.? If so, list date and disease or condition: You should be aware of these special medical conditions of the Participant:
Appears in 1 contract
Samples: And Indemnification Agreement