Get Health Record For Children In Day Camps And After Schools Form

Filling out the Health Record for Children in Day Camps and After Schools Form is an important step in ensuring the well-being of your child while they participate in various activities. This guide will provide you with clear instructions on how to complete the form online, ensuring that all necessary information is accurately submitted.

Follow the steps to effectively complete the health record form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the program your child will be attending in the provided space.
3. Input your child's last name, first name, birth date, and sex in the designated fields.
4. Complete the home address and parent or guardian contact information, including phone numbers.
5. Provide the places of employment and phone numbers for both parents or guardians.
6. List emergency contacts, ensuring to provide names and phone numbers for at least two individuals in case the parent or guardian cannot be reached.
7. Answer the question regarding exposure to communicable diseases in the three weeks prior to camp attendance, providing details if applicable.
8. Indicate any health history by checking the relevant boxes and providing approximate dates for any conditions experienced.
9. List any operations, serious injuries, hospitalizations, chronic illnesses, or specific activity restrictions, providing as much detail as possible.
10. Authorise permission for all program activities unless restricted by a doctor, and include details about any appliances worn or medications taken.
11. Sign and provide the date for consent regarding emergency medical treatment, indicating your relationship to the child.
12. If required, provide the physical examination details as filled out by a licensed physician, following the guidelines set in the form.
13. Once all fields have been completed, review the form for accuracy, then save your changes.
14. You can then download, print, or share the completed form as needed.

Take action now and complete the Health Record form online for your child’s upcoming activities.