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Get Pathfinder Application & Health Record 2012
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How to fill out the Pathfinder Application & Health Record online
Completing the Pathfinder Application & Health Record is essential for your child to participate in Pathfinder activities. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.
Follow the steps to complete the Pathfinder Application & Health Record online.
- Click ‘Get Form’ button to access the Pathfinder Application & Health Record and open it for filling.
- In the 'Applicant's Demographic' section, print your child's name clearly in the designated fields, alongside their primary contact number, address, date of birth, email, city, state, zip code, school, phone number, and grade.
- In the 'Parent/Guardian Demographic' section, list the names, email addresses, work addresses, and phone numbers of both parents or guardians. Include their cell phone numbers as well for emergency contact purposes.
- For the 'Pickup Authorization' section, identify individuals who are authorized to pick up your child from Pathfinder functions. Ensure you list all applicable persons as your child will only be released to them.
- In the 'Parents/Guardians' statement, read through the declarations and ensure to sign and date the section indicating your understanding and agreement to the outlined terms.
- Move to the 'Medical History and Information' section where you will answer various health-related questions about your child. Indicate 'yes' or 'no' and provide further explanations for any 'yes' responses.
- Complete the 'Insurance/Physician/Emergency Contact Information' area by filling in the name and contact information for your child's primary physician and emergency contact, along with details about your medical insurance.
- Confirm the accuracy of the medical history and sign the certification section. Include the date of your signature to finalize this part.
- Finally, review the form for completeness and accuracy. Save your changes, and when ready, download, print, or share the completed Pathfinder Application & Health Record.
Begin completing your Pathfinder Application & Health Record online today!
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To obtain your NS health records, start by contacting the health facility where you received care. They may utilize the Pathfinder Application & Health Record to help you retrieve your documents quickly. Complete any necessary request forms, and don’t forget to verify your identity. Following these steps will provide you with your health records without any hassle.
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