Get Health History Form - Ccusa

Completing the Health History Form - Ccusa online is an essential step for participants preparing for their camp experience. This guide provides clear instructions to help users navigate the form efficiently and accurately.

Follow the steps to complete the Health History Form - Ccusa.

1. Press the ‘Get Form’ button to acquire the health history form and open it in your digital editor.
2. Begin by filling out the personal information section. Enter your full name, birth date, and address accurately. Ensure that you provide valid home and mobile phone numbers for communication.
3. Complete the emergency contact details. Include the name, relationship, and phone numbers of the emergency contact as well as an alternate contact.
4. In the health history section, check all applicable illnesses, diseases, and allergies. Provide approximate dates for each item as requested.
5. Detail any surgeries or major illnesses you have had in the last five years, including dates, and describe any chronic health concerns affecting your ability to participate.
6. List any medications you are currently taking along with dosage and reason for each medication. Be sure to indicate if you do not take any medications.
7. Indicate any dietary restrictions you may have by checking the applicable boxes.
8. Answer the general questions truthfully. If you answer 'yes' to any questions, provide explanations noting the question numbers.
9. Read and sign the certification statement, assuring the correctness of the information you've provided.
10. Have the form completed by a licensed physician in the medical examination section. This includes documenting height, weight, and conducting a general health examination.
11. Finally, save the changes, download, or print the completed form for submission as instructed.

Start filling out your Health History Form - Ccusa online today to ensure a smooth camp experience!