{"text":"LOTHIAN REGIONAL COUNCIL \u2014DEPARTMENT OF SOCIAL WORK \nMEDICAL EXAMINATION OF CHILD Flogse Remip 10 \nReception into care medical Name \n28 day medical Address \nAnnual medical \n3? \n\\v} \n000 \nTransfer\/discharge medical \nAdministration of Children\u2019s Homes Regulations 1959, Boarding out of Children (Scotland) Regs. 1959, \nSurname Home Address Date of Birth \nForenames Present Address (if different) Sex \n-l \nNext of Kin | Name and Address \n(if applicable), \n1.| Immunisation Record First Medical Additions since last examined \nPolio Vaccination 1. 2, 3: \nTriple Antigen 1. 2 3 \nWhooping Cough 1% 2. <} \nDiptheria\/Tetanus 1 2 S \nRubella ik Has the child had the appropriate \nMoastes 1. immunisation for his\/her age? YES \nB.C.G. 1. : NO \n2. | History of illness, infections or injuries. 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