{"text":"Form No. SW2\/7b \n\" \"HIGHLAND REGIONAL. COUNCIL - SOCIAL \u201cWORK DEPARTMENT \n* MEDtCAL EXAMINATION OF CHILD - FREEDOM FROM INFECTION \nName-of Child \nAge or Date of Birth '37\u2018 ........... eevns Sex .ol i veres \nAddress 36\u2018-\u2018\u201c&@%\u201c9{?\u2018.\u2019\u201c&%1 T s e \nl, Is the child free from signs of infectious or contagious disease? \nB V - - \n\u2018 2. Has he\/she\u20acto your knowledge been-in contact with any ml\u2018cctlous or. contagious disease during the past \n3 weeks? % \ni 3. Pleasc rcport briefly on. g\u00e9neral physical condluon, mcIudmg nutrmon, cleanliness and any' m_|ur|cs \n: cvident. \u2018 \n4. Did your examination rev!:cil any physical or mental.abnormality qr'igandicap? (Please specify) \n: 5. Other obscrvauons health mattersor spccnal nccds which should be noted: 'by those taking over thcdaxlyt ' \n: care of the child, i \ni \ne o e MO AR oh S b \n\u201c - \u00a2 . \nb e m st \u00a9 e A i e s e w1 vt = o e o e St 8 = = < enr et om0 o oeon o e = e e e 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