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HEALTH RECORD AT CAPE COD ACADEMY Camper s Full Name Date of Birth Home address Parent/Guardian s full name Age Grade (in September) Height Weight Parent/Guardian s phone (home) (work) (cell) Parent/Guardian
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How to fill out a health record at Cape:

01
Start by gathering all necessary personal information such as your name, date of birth, address, and contact details.
02
Provide your medical history, including any pre-existing conditions, allergies, and previous surgeries or hospitalizations.
03
List any medications or supplements you are currently taking, along with the dosage and frequency.
04
Include your vaccination history, mentioning the dates and types of vaccinations you have received.
05
Fill out information about your family medical history, such as any hereditary diseases or conditions that may run in your family.
06
If applicable, provide details about your insurance coverage, policy number, and primary care physician.
07
Answer any additional questions or sections that may be specific to Cape's health record form. This may include questions about lifestyle habits, smoking or alcohol consumption, or any recent illnesses.

Who needs a health record at Cape:

01
Patients: Any person seeking medical care or services at Cape should have a health record on file. This applies to both new and existing patients.
02
Healthcare Providers: Doctors, nurses, and other healthcare providers at Cape rely on accurate and up-to-date health records to provide appropriate and effective care.
03
Administrators: The administrative staff at Cape needs health records to manage appointments, verify insurance information, and ensure smooth operations within the healthcare facility.
Please note that the specific requirements for a health record at Cape may vary, so it's always beneficial to check with the specific healthcare provider or facility for their guidelines and forms.
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Health record at cape is a document that contains important information about an individual's medical history, including past illnesses, treatments, medications, and allergies.
All students, faculty, and staff at cape are required to file a health record.
Health records at cape can be filled out online through the student or employee portal, or by submitting a paper form to the health services department.
The purpose of health record at cape is to ensure that the university has up-to-date information about the health of its community members in case of emergencies and to provide appropriate medical care.
Information that must be reported on a health record at cape includes personal information, medical history, current medications, and emergency contact information.
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