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Get Walden West Summer Camp Physician Information Form - Waldenwest
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How to fill out the WALDEN WEST SUMMER CAMP PHYSICIAN INFORMATION FORM - Waldenwest online
This guide provides clear instructions on how to complete the Walden West Summer Camp Physician Information Form effectively. By following these steps, you will ensure that your child's medication needs are properly documented and communicated.
Follow the steps to complete the form accurately and efficiently.
- Press the ‘Get Form’ button to obtain the Walden West Summer Camp Physician Information Form and open it for editing.
- In Part 1, have the child's physician complete the necessary information. This includes the student's name, birth date, weeks attending, medication details (name, dosage, route, frequency, and possible reactions), and the condition(s) for which the medication is prescribed.
- The physician must provide their name, signature, phone number, and address, along with the date of the request. Ensure all required fields are filled out legibly.
- In Part 2, the parent or guardian should complete their section, which includes providing their child’s name, a statement of authorization for dispensing medication, and signing the form.
- The parent must also include their printed name, signature, date, and phone number to finalize the authorization.
- Once all sections are completed, review the form for accuracy, save any changes, and consider downloading, printing, or sharing the completed form as necessary.
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