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Get the free 4-H Health History Report Form - VCE Publications

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4H Health History Report form Publication 388906 (4H924NP) Reviewed 2020INSTRUCTIONS: Please provide detailed health information for determining appropriate supervision, support, and accommodations
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How to fill out 4-h health history report

01
Gather the necessary information such as personal details, medical history, emergency contacts, and insurance information.
02
Fill out each section accurately and completely, providing any additional information or notes as needed.
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Review the completed form for any errors or missing information before submitting it.
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Submit the filled out 4-H health history report to the appropriate organization or individual as required.

Who needs 4-h health history report?

01
Participants involved in 4-H programs such as youth members, volunteers, and staff members may need to fill out a 4-H health history report.
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4-H health history report is a document that collects information about the health history of a 4-H participant.
All 4-H participants are required to file a health history report.
To fill out a 4-H health history report, participants must provide details about their medical history, current health status, and any allergies or medical conditions.
The purpose of the 4-H health history report is to ensure the safety and well-being of participants during 4-H activities and events.
Participants must report information such as their medical history, current medications, allergies, and emergency contact information.
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