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85 CAMP Protocol Appendices: Patient consent/assent statements SAMPLE CONSENT FORM The Johns Hopkins University School of Hygiene and Public Health Committee on Human Research Title of Research Project:
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Point by point instructions on how to fill out camp protocol appendix patient:
01
Start by reviewing the camp protocol appendix. Familiarize yourself with the purpose and specific requirements of the document.
02
On the first line, enter the patient's name. Make sure to write the full name and use proper capitalization.
03
Provide the patient's date of birth in the designated space. Use the correct format (e.g., day/month/year) and double-check for accuracy.
04
Fill in the patient's contact information, including phone number and address. It is important to have accurate and up-to-date contact details.
05
Document any existing medical conditions or allergies the patient may have. Be thorough in providing this information to ensure proper care during the camp.
06
If the patient is on any medications, list them in the appropriate section. Include the medication name, dosage, and frequency of administration.
07
Indicate whether the patient has any dietary restrictions or special dietary needs. Specify any allergies or intolerances that the camp staff should be aware of.
08
Document any specific accommodations or equipment the patient may require during the camp. This could include things like wheelchair accessibility, hearing assistance devices, or support for visual impairments.
09
Provide any additional notes or instructions for the camp staff regarding the patient's medical history or care. This could include emergency contacts, preferred healthcare providers, or preferred communication methods.
10
Review the filled-out camp protocol appendix patient thoroughly for accuracy and completeness. Make any necessary corrections before submitting it.
Who needs camp protocol appendix patient?
01
Camp administrators and staff who are responsible for the health and safety of the campers.
02
Healthcare providers who may need to access the patient's medical information in case of emergencies or during routine care.
03
The patient's guardian or parent, as they may require this information for their own records or for future healthcare needs.
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What is camp protocol appendix patient?
The camp protocol appendix patient is a document that outlines specific medical information and procedures related to a patient in a camp setting.
Who is required to file camp protocol appendix patient?
Camp administrators or medical staff are typically required to file the camp protocol appendix patient.
How to fill out camp protocol appendix patient?
The camp protocol appendix patient is typically filled out with the patient's medical history, current medications, allergies, and emergency contact information.
What is the purpose of camp protocol appendix patient?
The purpose of the camp protocol appendix patient is to ensure that camp staff have necessary medical information to provide proper care and treatment in case of emergencies.
What information must be reported on camp protocol appendix patient?
The camp protocol appendix patient must include the patient's medical history, any known allergies, current medications, and emergency contact information.
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