nimals 0 Birds 0 Reptiles 0 Amphibians 0 Plants 0 Food 0-Other Specify St/AC ( %) Be , I 4-01-0"94-- (89) LIST STUDENT'S ILLNESS. BEHAVIOR ISSUES. MECCC,ATIONS CR PHYSCAL UllTATIONS (70) FAMLY PHYSICIAN (71) PHYSICIAN PHONE NAMES OF PARENT'S/LEGAL GUARDIAN'S OTHER CHILDREN (7Z NAME OF CHILD MU med