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4H Health History Report FormPUBLICATION 388906REVISED 2013INSTRUCTIONS: Please provide detailed health information for determining appropriate supervision, support, and accommodations for the 4H

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How to fill out 4-h health history report

01

Start by gathering all necessary health information such as medical conditions, medications, allergies, and emergency contacts.

02

Fill out the personal information section including name, age, date of birth, and address.

03

Provide details about any medical conditions or allergies that the individual may have.

04

List all current medications being taken including dosage and frequency.

05

Include emergency contact information in case of any medical emergencies.

06

Review the form for completeness and accuracy before submitting.

Who needs 4-h health history report?

01

Anyone participating in 4-H activities or events may need to fill out a 4-H health history report. This includes both youth members and adult volunteers to ensure the safety and well-being of all participants.

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What is 4-h health history report?

4-H health history report is a document that collects important medical information about participants in 4-H programs to ensure their safety and well-being during activities.

Who is required to file 4-h health history report?

Participants in 4-H programs, including youth members, adult volunteers, and staff, are required to file a 4-H health history report.

How to fill out 4-h health history report?

Individuals can fill out the 4-H health history report by providing accurate information about their medical history, allergies, medications, and emergency contacts. The form can usually be found on the 4-H program's website or obtained from the program coordinator.

What is the purpose of 4-h health history report?

The purpose of the 4-H health history report is to ensure the safety and well-being of participants in 4-H programs by providing important medical information to program leaders and staff.

What information must be reported on 4-h health history report?

The 4-H health history report typically requires information such as medical conditions, allergies, medications, emergency contacts, and insurance information.

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