Het is echter wel schadelijk om overmatig te alcohol te drinken, zeker als u een infectie heeft. Dit komt de infectie eerder verergerd door het gebruik van alcohol antibiotica doxycycline Doorgaans worden ze voorgeschreven bij bacteriële infecties die om de één of andere reden niet uit zichzelf over gaan; ze doden dan de bacteriën.

Microsoft word - 2013_2014bandmedinfoform.docm

Health and Permission Form for the 2013 – 2014 Davison School Year T-Shirt Size____
STUDENT NAME _____________________________________________ ______ /______ /______
PARENT OR LEGAL GUARDIAN: NAME(S)_____________________________________________ HOME PHONE _________________ ADDRESS ____________________________________________ WORK PHONE _________________ 1st CELL PHONE ______________________ 2nd CELL PHONE _______________________ MEDICAL INSURANCE CARRIER ______________________________ I.D. # __________________ ALTERNATIVE EMERGENCY CONTACT: NAME________________________________________________ PHONE _______________________ RELATIONSHIP TO STUDENT ___________________________________________________________ NAME________________________________________________ PHONE _______________________ RELATIONSHIP TO STUDENT _________________________________________________________ HEALTH HISTORY (please check if applies) PLEASE LIST CURRENT MEDICATIONS
AND DOSAGE STUDENT IS TAKING
___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Date of last Tetanus shot ______ / _______ YES______ NO_______ (If yes please explain on back page) ALLERGIC TO INSECT STINGS YES______ NO_______ (If yes please explain on back page) OTHER ALLERGIC REACTIONS YES______ NO_______ (If yes please explain on back page) (continued on back)
Please explain any checked areas from page 1 or other health factors that would restrict the student from participating in any activity. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ PERMISSION TO ADMINISTER MEDICATION
I give permission for any chaperon to administer the following to my student. If no medication is checked, none will be given. ____ANTACID ____Dramamine _____ ANTI-DIARRHEAL _____ANTIHISTAMINE/SINUS ____ ALEVE (naproxen) ____TYLENOL (acetaminophen) ____MOTRIN (ibuprofen) PRESCRIPTION MEDICATION
A Davison Community Schools “Authorization to Administer Medication” form must be filled out by parent
and physician for all prescriptions medications. Students may self-carry and self-administer prescription
medications, except controlled substances, with physician authorization. All controlled substances, i.e. ADD
and ADHD medications, must be kept and administered by a Davison Schools employee.
This health history is correct to the best of my knowledge. The student listed has permission to engage in all choral/instrumental music activities for the 2013 - 2014 school year unless otherwise noted on this form. I hereby grant permission to authorize any medical treatment as deemed necessary at my expense for my son/daughter/ward’s participation in the choral/instrumental music program for the 2013 – 2014 school year. ____________________________________________________ SIGNATURE OF PARENT OR LEGAL GUARDIAN DATE

Source: http://www.dbob.org/documents/2013_2014BandMedInfoForm.pdf