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NC Gwynn Valley Health History and free printable template

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Session(s) attending camp The participant is a camper staff member 301 Wynn Valley Trail Brevard, NC 28712 (828)885-2900 phone (828)885-2413 fax www.gwynnvalley.com HEALTH HISTORY and EXAMINATION
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How to fill out NC Gwynn Valley Health History and Examination

01
Obtain the NC Gwynn Valley Health History and Examination form from the camp's website or administrative office.
02
Begin by filling out the personal information section, including the camper's name, date of birth, and contact information.
03
Complete the health history section, providing details about any past illnesses, surgeries, or ongoing medical conditions.
04
List all medications the camper is currently taking, including dosages and frequency.
05
Include information about allergies, including food, medication, and environmental allergies.
06
Provide emergency contact information, including a primary and secondary contact.
07
Ensure that a physician's signature is included, confirming that the child is fit for camp activities.
08
Review the form for accuracy and completeness before submitting it to the camp.

Who needs NC Gwynn Valley Health History and Examination?

01
Children who are attending NC Gwynn Valley Camp need to complete the Health History and Examination form.
02
This form is required for all campers to ensure their health and safety while participating in camp activities.
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NC Gwynn Valley Health History and Examination is a document that collects important health information about individuals participating in programs or activities at Gwynn Valley, ensuring their safety and well-being.
All participants, including campers and staff, are required to file NC Gwynn Valley Health History and Examination prior to their involvement in the programs.
To fill out the NC Gwynn Valley Health History and Examination, individuals should provide accurate and complete information about their medical history, current health status, and any medications they are taking, ensuring to follow the instructions provided on the form.
The purpose of NC Gwynn Valley Health History and Examination is to assess the health and safety of participants, identify any medical needs, and prepare for appropriate care during their time at Gwynn Valley.
Information that must be reported includes the participant's medical history, allergies, chronic conditions, medications, immunization records, and emergency contact details.
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