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Camper Last Name:OFFICE Summer Camp for Burn Injured Youth 2021 Camper Health Exam/Record FORM TO BE COMPLETED BY PHYSICIAN/QUALIFIED HEALTH PROFESSIONAL (MD, DO, NP, PA) Camper Name:Date of Birth:Date
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How to fill out camp medical form 2021docx
01
To fill out the camp medical form 2021.docx, follow these steps:
02
Open the camp medical form 2021.docx on your computer using Microsoft Word or any other word processing software.
03
Read the instructions provided at the beginning of the form carefully. These instructions will guide you on how to fill out each section.
04
Start with personal information section. Fill in your full name, date of birth, gender, and contact details.
05
Move on to the medical history section. Provide accurate information about any pre-existing medical conditions or past illnesses. Include details of any allergies, medications, or disabilities that the camp should be aware of.
06
Complete the emergency contact section. Provide the name, relationship, and contact number of at least one emergency contact person.
07
If required, fill out the insurance information section. This may include providing details of your insurance provider and policy number.
08
Sign and date the form at the designated spaces. This indicates that the information provided is accurate and complete.
09
Review the filled-out form to ensure all sections are completed properly.
10
Save the form with a new name to avoid overwriting the original template.
11
Submit the completed form as instructed by the camp administration.
Who needs camp medical form 2021docx?
01
Anyone planning to attend the camp needs to fill out the camp medical form 2021.docx. This form is mandatory for all camp participants regardless of age or health condition. It ensures that the camp administrators have necessary information about the participants' medical history and can provide appropriate care in case of emergencies.
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What is camp medical form docx?
Camp medical form docx is a document in Docx format that collects medical information about individuals attending a camp.
Who is required to file camp medical form docx?
All individuals attending the camp are required to file the camp medical form docx.
How to fill out camp medical form docx?
Camp medical form docx can be filled out by providing accurate medical information such as medical history, allergies, medications, and emergency contact details.
What is the purpose of camp medical form docx?
The purpose of camp medical form docx is to ensure that the camp organizers have necessary medical information to provide appropriate care in case of emergencies.
What information must be reported on camp medical form docx?
Information such as medical history, allergies, current medications, emergency contacts, and insurance details must be reported on camp medical form docx.
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