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THE SALVATION ARMY
RESIDENTIAL CAMPHEALTH HISTORY FORM Pg. 1 of 2
Gender: M / F Date of Birth:Camper Name:
Address:City:Home Phone:Cell:Zip:Corps:Parent / Guardian / Emergency Contact
Name:Relationship:Address:City:Home
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How to fill out health history form pg

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01
Start by carefully reading the health history form pg.
02
Gather all necessary information, such as personal details, medical history, and any current medications.
03
Fill out each section of the form accurately and completely.
04
Provide detailed information about any previous illnesses, surgeries, or medical conditions.
05
Include information about any allergies or adverse reactions to medications.
06
If you are unsure about any questions, consult with a healthcare professional for guidance.
07
Double-check your answers and make sure all information is legible and understandable.
08
Once completed, submit the health history form to the designated recipient or healthcare provider.
Who needs health history form pg?
01
Anyone seeking medical treatment or evaluation may need to fill out a health history form pg.
02
Healthcare providers often require new patients, both adults, and children, to fill out a health history form prior to the appointment.
03
Individuals undergoing surgeries or procedures usually need to complete a health history form for pre-operative assessment.
04
Job applicants in certain industries, such as healthcare or childcare, may need to provide a completed health history form as part of their application process.
05
Sports teams or athletic organizations may require athletes to fill out a health history form to ensure their safety during physical activities.
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