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Get Rotary Youth Exchange Long-Term Exchange Program Section C-1: Medical History & Examination 2021-2024

N C-1: Medical History & Examination Page 1 of 3 Physician: This student is considering a year abroad as an exchange student. Insufficient, inadequate, or improper information about medications or psychiatric, psychological, or other medical problems could endanger the student s life while overseas. Allergy information is especially crucial to host family placement and student well-being. An immediate relative of the applicant may not complete the examination or fill out this form. Use compu.

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