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Rhyw: 
Boy
Ysgol: 
14
Cyswllt mewn Argyfwng: 
82
Ffôn Cyswllt mewn Argyfwng: 
12
Rhiant / Gwarchodwr: 
Sahasra
68
26
79
Perthynas i'r Plentyn: 
52
Blwyddyn Ysgol: 
13
Rwy’n cytuno i fy mhlentyn dderbyn triniaeth feddygol mewn argyfwng gan aelod staff cymwys neu ymarferydd meddygol os yw’r galw yn codi: 
Manylion eich Meddyg: 
Helena