{"text":"LOTHIAN REGIONAL COUNCIL \u2014 DEPARTMENT OF SOCJIAL WORK \nMEDICAL EXAMINATION OF CHILD \nReception into care medical \n\u00abQ A \n\\ \n\\V\/ \n28 day medical \nAnnual medical \nTransfer\/discharge medical \nAdministration of Children\u2019s Homes Regulations 1959, Boarding out of Children (Scotland) Regs. 1959, \nName \nAddress \nPlease Return to \nHUUKE \nSurname Home Address Date of Birth \n\u00a2 \nForenames Present Address (if different) Sex \n!. \nNext of Kin | Name and Address \n(if applicable), \u2018 : \n1 \u2018 \/ \\ \n1.| Immunisation Record First Medical Additions since last examined \nL Polio Vaccination (IR 2 3: \n\ufb01 <riple Antigen il 2 3. \n. hooping Cough 1. 2 3t \nDiptheria\/Tetanus e 2. 3. \nRubella 1 Has the child had the appropriate \nMeasles 1 immunisation for his\/her age? b \nB.C.G. 1. ) NO \n2. | History of illness, infections or injuries. Since Birth Since last seen \noA \nA AA \n3. | The condition of: (please eleborate in Section 10 if necessary) \nEyes\/Sight N \n~ars\/Hearing \nl Throat \n|onS|Is \nTeeth and Gums A A1) ) \nA (A \nP A \n*\u00a5Skin and Scalp i) o ). \n*Please indicate presence and extent of bruising, vermin etc. and any need for treatment \n4. | Evidence of abnormality in the following systems (comment in Section 10 if necessary) \nCardiovascular \nRespiratory \nAlimentary \nCentral Nervous \nGenito-urinary \nOther \n5. | State of Nutrition \nRIC3 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