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20192020 Registration, Health History and Emergency Care Plan Y BASE GENEVA LAKES FAMILY YMCA offered at Central Denison Star Center TraverREGISTRATION PAGE 1 OF 2One form per child. A new form must
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How to fill out 2019-2020 registration health history

01
Gather all relevant medical documents and information, such as immunization records, current medications, and any known allergies.
02
Complete the personal information section of the registration form, including your name, date of birth, and contact details.
03
Provide details about your previous medical history, including any chronic illnesses, surgeries, or hospitalizations.
04
Fill out the immunization section of the form, listing all vaccines you have received and the dates they were administered.
05
Mention any known allergies or adverse reactions to medications, foods, or environmental factors.
06
Specify any current medications you are taking, including dosage and frequency.
07
If applicable, provide information about any ongoing medical treatments or therapies.
08
Sign and date the form to confirm that the information provided is accurate.
09
Make a copy of the completed form for your records and submit the original to the appropriate registration authority.

Who needs 2019-2020 registration health history?

01
Any individual, typically a student or parent/guardian of a student, who is enrolling or re-registering for the 2019-2020 academic year needs to fill out the registration health history form.
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Registration health history is a form that collects information about an individual's medical history.
All individuals are required to file registration health history.
You can fill out registration health history by providing accurate information about your medical history.
The purpose of registration health history is to ensure that healthcare providers have relevant medical information about an individual.
Information such as past illnesses, surgeries, medications, allergies, and family medical history must be reported on registration health history.
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