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Incident Report

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Where was the student/staff injured?*
Where was the student/staff injured?





Please make a selection and let us know where was the student injured.
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Type of Injury*
Type of Injury




What was the type of injury? Please select one.
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Parent/Guardian Contacted*
Parent/Guardian Contacted

Please let us know if you contacted parent(s) or guardian(s).
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Treatment Rendered
Treatment Rendered





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Was 911 called?*
Was 911 called?
Did you call 911?