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This form is required to collect health information and emergency contact details for participants in the Cambria Baseball/Softball Program and the Summer Recreation Day Program, ensuring the safety
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How to fill out Individual Health Record and Medical Permit

01
Begin with personal information: enter your name, date of birth, and contact details at the top of the form.
02
Fill in medical history: include any past illnesses, surgeries, or chronic conditions.
03
List current medications: specify all medicines you are currently taking including dosages and frequency.
04
Provide immunization history: document all vaccinations received along with dates.
05
Include allergies: note any known allergies to medications, food, or environmental factors.
06
Submit additional information: fill out emergency contacts and health care providers if required.
07
Review the form for accuracy: ensure all information is correct and complete before signing and dating the document.
08
Attach required documents: if needed, include identification and any medical documents as instructed.

Who needs Individual Health Record and Medical Permit?

01
Individuals participating in organized sports or physical activities.
02
Students attending schools or daycare facilities who need a health record for enrollment.
03
Patients requiring medical treatment or procedures that need a medical permit.
04
Employees in jobs that necessitate a health assessment or verification of medical fitness.
05
Anyone involved in travel activities that demand health documentation for travel insurance or entry.
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People Also Ask about

Personal health records (PHRs) contain the same types of information as EHRs — diagnoses, medications, immunizations, family medical histories, and provider contact information — but are designed to be set up, accessed, and managed by patients.
How may I request medical records? Accessing your Patient Portal is the fastest way to obtain your health information if you are an adult. If the patient is a minor, the fastest way to obtain the health information is by submitting an Online Request above.
A personal health record stores information about your health and care online. Both you and health professionals who care for you can add information to it. It's different to your GP health record, which is a central record that your GP surgery manages.
Some people use the terms “electronic medical record” and “electronic health record” (or “EMR” and “EHR”) interchangeably.
Check their website: Information about how to get your health record may be found under the Contact Us section of a provider's website. It may direct you to an online portal, a phone number, an email address, or a form. Phone or visit: You can also call or visit your provider and ask them how to get your health record.

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An Individual Health Record (IHR) is a comprehensive collection of an individual's health information. A Medical Permit is a legal document authorizing specific medical treatments or interventions.
Individuals undergoing medical treatments, caregivers, or health professionals are typically required to file an Individual Health Record and Medical Permit.
To fill out the IHR and Medical Permit, individuals must provide personal identification, medical history, current medications, and details regarding the specific medical treatment or procedure.
The purpose of the IHR is to maintain an organized record of a person's health for better healthcare delivery, while the Medical Permit ensures that healthcare providers have legal permission to administer care.
The IHR must report personal details, medical history, allergy information, and current treatments. The Medical Permit must include specifics about the proposed treatment, patient consent, and physician's authorization.
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