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How to fill out the Girl Scouts online health history form
Completing the Girl Scouts health history form is an essential step for participation in various activities. This guide will provide you with clear, step-by-step instructions to ensure you fill out the form accurately and effectively.
Follow the steps to complete the health history form
- Click ‘Get Form’ button to obtain the health history form and open it in your preferred editor.
- Begin by entering personal information such as the participant's name, date of birth, and address. This section is crucial for identifying the individual involved.
- Next, provide the troop number, parent or guardian's name, and contact information, including day and evening phone numbers, as well as an email address.
- Fill in the emergency contact information. Ensure it is a person other than the parent or guardian, and include their relationship to the participant.
- List the name and contact information of the family physician and hospital, as well as any insurance carrier details, including the policy number.
- Complete Part I by checking any chronic or recurring illnesses or injuries that the participant may have, providing relevant dates as necessary.
- Address any complicating medical problems noted in the last health examination and indicate if the participant is currently under the care of a physician or psychologist.
- If the participant has had any serious injuries or illnesses since the last health examination, provide detailed explanations and dates in the appropriate section.
- Fill in Part II related to allergies, specifying any allergic reactions that may impact participation.
- In Part III, include other health conditions that may apply, such as emotional disturbances or dietary regimens.
- Complete Part IV by listing immunizations and providing the year the primary series was completed and the year of the last booster.
- Finally, review the entire form for accuracy and completeness. Ensure that all required signatures are present, including those of the parent or guardian for minors, or the adult participant.
- Save any changes made to the form, download a copy for your records, and print or share it as necessary.
Take a moment to fill out the Girl Scouts health history form online to ensure a smooth and safe participation!
Scouts BSA has a program for everyone! If you are a girl between the ages 11-17, endless fun, valuable skills, lifelong friends and more await you in Scouts BSA. Find out why girls everywhere are saying “Scout me in!”
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