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Staff Health History FORM 1 Developed and Reviewed by 4-H Camp Wyoming and the Wyoming County Health Department Revised January 2013 Date will attend camp: from to Month/Date/Year Month/Date/Year
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Staff health history form is a document that collects information about the medical history and current health status of an individual staff member. It is used to assess the health condition of staff and ensure they are fit to perform their duties.
All staff members are required to file the staff health history form.
To fill out the staff health history form, the staff member needs to provide accurate information about their medical history, existing health conditions, medications taken, and any recent treatments or surgeries.
The purpose of the staff health history form is to gather important medical information about staff members in order to assess their health condition, identify any potential risks or accommodations needed, and ensure a safe and healthy working environment.
The staff health history form typically requires information such as personal details, medical history, existing health conditions, medication information, allergies, surgical history, family medical history, and contact information for emergency purposes.
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