Get the free Summer Explorations Health Form 2015 - Elisabeth Morrow School

Please attach to this form Dose 1 Dose 2 Dose 3 Dose 4 Dose 5 DPT/TD Polio MMR Varicella Hepatitis B HIB Pneumococcal Conjugate PCV Meningoccal Vaccine Influenza Vaccine Mantoux Tuberculin Date Result Treatment Hgt Wgt Vision Hearing Scoliosis B/P Physician s Permission for Participation in School Activities /or Administration of Medication in Summer Explorations Physician Signature Date He/she has been fully immunized according to N.J. State law. Summer Explorations Health Form 2015 Last...

How to fill out summer explorations health form

How to fill out summer explorations health form

1. Step 1: Start by obtaining a copy of the summer explorations health form.
2. Step 2: Read through the form carefully to understand the information and requirements.
3. Step 3: Begin by filling out your personal details such as your name, date of birth, and contact information.
4. Step 4: Proceed to provide your medical history, including any known allergies, previous illnesses, and current medications.
5. Step 5: If applicable, provide information about your primary care physician and any other healthcare providers you see.
6. Step 6: Fill out the emergency contact section, ensuring you provide accurate and up-to-date contact details for someone who can be reached in case of an emergency.
7. Step 7: Sign and date the form, acknowledging that the provided information is accurate to the best of your knowledge.
8. Step 8: Review the completed form to ensure all sections are properly filled out and there are no missing or incorrect information.
9. Step 9: Submit the form to the relevant authority or organization responsible for the summer explorations program.

Who needs summer explorations health form?

1. Anyone participating in the summer explorations program is required to fill out the health form.
2. This includes both students and staff members.

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What is summer explorations health form?

Summer explorations health form is a document that collects information about a participant's health and medical history to ensure they are safe to participate in summer programs.

Who is required to file summer explorations health form?

All participants planning to attend summer explorations programs are required to file the health form.

How to fill out summer explorations health form?

Participants can fill out the form online or download a printable version from the program's website and submit it by email or in person.

What is the purpose of summer explorations health form?

The purpose of the form is to ensure the safety and well-being of participants by providing program staff with necessary health information.

What information must be reported on summer explorations health form?

Participants must report their medical history, any current medications, allergies, emergency contacts, and insurance information.