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The Arc WestchesterMUST BE REVIEWED, SIGNED & STAMPED BY DOCTOR/HEALTH CARE PROVIDER Participant Medical Former Participant Medical Form INSTRUCTIONS: The New Participant Medical form must be completed
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01
Start by entering the participant's full name, date of birth, and contact information.
02
Provide information about any existing medical conditions or allergies the participant may have.
03
Specify the emergency contact person and their phone number in case of an emergency.
04
Describe any medications the participant is currently taking and the dosage.
05
Indicate if the participant has any dietary restrictions or special needs that should be considered during activities.
06
Sign and date the form to certify its accuracy and completeness.

Who needs new participant medical form?

01
Any individual who is participating in a new program, event, or activity that requires medical information to ensure their safety and well-being.
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The new participant medical form is a document that collects relevant medical information about a new participant.
New participants are required to file the new participant medical form.
The new participant medical form can be filled out by providing accurate and up-to-date medical information as requested.
The purpose of the new participant medical form is to ensure that event organizers have necessary medical information in case of emergencies or medical needs.
The new participant medical form may require information such as medical history, allergies, medications, emergency contacts, and insurance information.
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