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Deworming Consent

This document is a Parent's Consent form from Kapalutan Elementary School in the Philippines, allowing a parent to give consent for their child to undergo deworming. It emphasizes the voluntary nature of the consent and acknowledges the benefits of the deworming treatment. The form includes spaces for the child's name and the parent's signature.

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Jessa Nacuray
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75 views1 page

Deworming Consent

This document is a Parent's Consent form from Kapalutan Elementary School in the Philippines, allowing a parent to give consent for their child to undergo deworming. It emphasizes the voluntary nature of the consent and acknowledges the benefits of the deworming treatment. The form includes spaces for the child's name and the parent's signature.

Uploaded by

Jessa Nacuray
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region 02
ALLACAPAN SOUTH DISTRICT
KAPALUTAN ELEMENTARY SCHOOL

PARENT’S CONSENT

I hereby willingly and voluntarily give my consent to my son/ daughter


_________________________________ to undergo deworming.
I have considered the benefits that my son/ daughter will derive from
taking the deworming tablet.

_________________________
SIGNATURE OVER PRINTED NAME

______________________________________________________________

Republic of the Philippines


Department of Education
Region 02
ALLACAPAN SOUTH DISTRICT
KAPALUTAN ELEMENTARY SCHOOL

PARENT’S CONSENT

I hereby willingly and voluntarily give my consent to my son/ daughter


__________________________________to undergo deworming.
I have considered the benefits that my son/ daughter will derive from
taking the deworming tablet.

_________________________
SIGNATURE OVER PRINTED NAME

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