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Ysgol: 
45
Cyswllt mewn Argyfwng: 
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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