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Arcadia Unified School District Student Health Services 180 Campus Drive, Arcadia, California 91007 ‘Telephone: (626) 821-1731... Fax: (626) 821-1712 . 4 To: Parent or Guardian of: Jensen Sieas ___ School: V3a betusin \ Stocker Dawe: _ Shas NOTIFICATION OF POSSIBLE HEAD INJURY Today at school, your child sustained an injury to the head. The injury did not appear serious; however, head injuries occasionally cause trouble hours or days later. If you are worried about your child or if any of the following symptoms occur, we strongly recommend that you seek immediate medical advice from a health care provider. ‘Symptoms to watch for include: Headache: severe ot increasing Drowsiness: which increases, or unusual sleepiness. During the usual hours of sleep, the child should be check for restlessness, unusual sleeping position, change in breathing pattern cor mental confusion when awakened. Behavior change: any sudden difference or unusuaV/abnormal behavior ‘Weakness: or inability to move arms or legs Coordination Problems: clumsy walking or poor balance Vomiting or feelings of nausea Visual disturbances: blurred vision or changes in ‘Unequal pupils (the black center of each eye) Bloody or clear fluid draining from ears, nose or head Convulsions or seizure activity: jerking movements or ion, Additional Comments peattngpeel- Sfadiund & giter tated 0 If you have any quéstions or concerns, please call the school at the number listed below’ VPS School Phone Number:_(@2&¢ Ya?! B2S/ Health Assistant: Steg re Principal Distst Ne: AZ. ef a am Susetling 1 Rilness okgeved. Stucint kept see Packer head pou Sb min. aennypress Shppped. Si in Health opptep por /hiy per onshatony 9 fungh Refernid to Class

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