MAKING MEDICAL INSPECTION EFFECTIVE 

 PARENT'S CONSENT BLANK, ST. LOUIS, MISSOURI 



FORM II-Q 



ST. LOUIS PUBLIC SCHOOLS. 



DEPARTMENT OF HYGIENE. 



PARENT'S CONSENT BLANK. 



St. Louis, 



I desire and hereby authorize that my child 



be taken by the school nurse to 



the Free Medical Clinic or Free Hospital for whatever treat- 

 ment, medicinal or surgical, the Doctors in charge find 

 necessary to improve the health of the above named child. 

 Respectfully, 



School Nurse Witness: 



that their sympathy and assistance may be enlisted and held. 

 This purpose is expressed in the memorandum of the British 

 board of education as follows: 



"Nor must the influence which the parent can exercise by ex- 

 ample and precept be neglected. One of the objects of the new legisla- 

 tion is to stimulate a sense of duty in matters affecting health in the 

 homes of the people, to enlist the best services and interests of the parents, 



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