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WI Camper Health History Record 2016 free printable template

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Ffd144.docx (New 7/16)Wisconsin Department of Agriculture, Trade and Consumer Protection Division of Food and Recreational Safety PO Box 8911, Madison, WI 537088911 Phone: (608) 2244720 Fax (608)
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How to fill out WI Camper Health History Record

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How to fill out WI Camper Health History Record

01
Gather necessary personal and medical information about the camper.
02
Complete the identification section including camper's name, date of birth, and contact details.
03
Fill out emergency contact information for parents or guardians.
04
Provide details about the camper's medical history, including past illnesses, surgeries, and allergies.
05
List any medications the camper is currently taking, including dosage and schedule.
06
Indicate any special dietary needs or restrictions.
07
Ensure that all sections are accurately filled and signed by a parent or guardian.
08
Submit the completed form by the designated deadline.

Who needs WI Camper Health History Record?

01
Campers attending youth camps in Wisconsin are required to fill out the WI Camper Health History Record.
02
Parents or guardians of campers need to provide this record to ensure the health and safety of their child while at camp.

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The WI Camper Health History Record is a document that collects essential health information about campers to ensure their safety and proper care during camp activities.
The WI Camper Health History Record must be filed by all campers attending Wisconsin summer camps, as well as by their guardians or parents.
To fill out the WI Camper Health History Record, parents or guardians should provide accurate health details about the camper, including medical history, allergies, medications, and emergency contacts.
The purpose of the WI Camper Health History Record is to ensure that camp staff is aware of any health issues or needs of the campers, allowing for appropriate care and emergency preparedness.
The information that must be reported includes the camper's medical history, current medications, allergies, emergency contacts, and any special health needs or conditions.
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