Get Health History Form Camper Staff Year: - Llbc

Completing the Health History Form for Lake Lundgren Bible Camp is an essential step in ensuring a safe and enjoyable experience for all campers and staff. This guide will walk you through each section of the form, providing clear instructions to help you submit the document accurately and efficiently online.

Follow the steps to effectively complete your health history form.

1. Press the ‘Get Form’ button to access the health history form. This will open the document in an online editor where you can begin filling out your information.
2. Indicate whether you are completing the form for a camper or staff by checking the appropriate box. Enter the year and dates of attendance by filling out the specified fields, including selecting the program if applicable.
3. Provide the personal details of the individual, including their name, birth date, and age at camp. Select the appropriate gender option.
4. Fill in the home address of the individual, including street address, city, state, and zip code.
5. Complete the contact information for the parent or guardian, including their phone numbers and an alternate emergency contact with their relationship to the individual.
6. Enter health insurance information including the insurance company name, subscriber’s name, policy number, and the address for claims submissions.
7. List the family physician and dentist, including their names and contact numbers.
8. Answer the health history questions by marking 'yes' or 'no' for each inquiry. Be honest in your responses, especially regarding conditions or allergies.
9. Elaborate on any 'yes' answers by providing specific details, including any limitations, restrictions, or relevant dates.
10. List any medications to be administered at camp, including their names, descriptions, dosages, and the times they should be taken.
11. If applicable, complete the parental or guardian consent section by providing the signature, printed name, and date of completion.
12. Once all sections are complete, save your changes. You may choose to download, print, or share the form as needed.

Complete your Health History Form online today to ensure a safe and enjoyable camp experience!