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Williamson County School System Student Treatment Form

  1. Williamson County School System
    Student Treatment Form

    Williamson County Risk Management

  2. 1320 West Main Street, Suite 108
    Franklin, Tennessee 37064
    Telephone: (615) 790-5466 Fax: (615) 591-8516
    Email: wayne.franklin@williamsoncounty-tn.gov

  3. Accident Information

  4. Injury:*

  5. Note to Parent(s) or Guardian(s):
    The above stated medical treatment was administered to your child by an employee of the school system. The
    treatment provided was within the limits of basic first-aid and should not be considered definitive care for the
    problem.
    If you believe further medical care is needed, it is recommended that you seek medical attention from your
    personal family physician or a medical care facility

  6. Leave This Blank: