Click on
Physician Information bar to reveal text boxes to input physician,
hospital and insurance information. There is a box for additional
comments.
Click to
hide Physician Information so that there is enough room to display
Dentist Information.
Click on Dentist
Information bar to reveal text boxes to input dentist’s name,
phone number and office address. There is a box for additional
comments.
Enter
Emergency Contacts
on Emergency
Contacts bar to input name, relationship and phone number(s) of someone other than parent to contact
in an emergency.
on
Physician Information bar to reveal text boxes to input physician,
hospital and insurance information. There is a box for additional
comments.
to
hide Physician Information so that there is enough room to display
Dentist Information.