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Staff Medical Form Camp Mini-Yo-We Please PRINT clearly in BLOCK letters Staff s Full Name: (as it appears on Health Card) Street Address: City/Prov/Postal Code: Telephone: NUMBERS: Surname Given
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How to fill out a staff medical form:

01
Review the form: Start by carefully reading through the staff medical form. Take note of any specific instructions or requirements mentioned on the form.
02
Personal information: Begin by providing your personal details such as your full name, address, phone number, and date of birth. Make sure to double-check the accuracy of the information before proceeding.
03
Medical history: Fill out the section related to your medical history. Be honest and thorough when providing details about any pre-existing medical conditions, allergies, surgeries, or medications you are currently taking.
04
Contact information: If required, provide emergency contact information that the organization can reach out to in case of any medical emergencies during your employment. Include the name, relationship, and contact number of the person who should be contacted.
05
Immunizations and vaccinations: Indicate your immunization history by filling out the relevant section. You may need to list the vaccinations you have received, their dates, and any booster shots required.
06
Medical insurance: If applicable, provide information regarding your medical insurance coverage. This may include the name of the insurance provider, policy number, and any supporting documentation required.
07
Consent and signature: Read any consent forms or declaration statements included in the staff medical form carefully. If you agree to the terms, sign and date the form as required. Ensure your signature is legible.

Who needs a staff medical form:

01
Potential employees: Individuals who are applying for a job may be required to fill out a staff medical form as part of the hiring process. This helps the organization determine whether the individual is fit to perform the duties of the job and identifies any potential health risks.
02
Current employees: Existing employees may also be required to complete a staff medical form when certain circumstances arise. For example, if an employee returns to work after an extended absence or if their job requirements change significantly, a medical form may be necessary to assess their medical fitness for the role.
03
Employers and organizations: Employers and organizations typically implement staff medical forms as a means to ensure the safety and well-being of their employees. It allows them to gather important medical information and take necessary measures to accommodate any health conditions or address potential risks within the workplace.
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