Get Pathfinder Application Amp Health Record - Cstonepathfinders

Filling out the Pathfinder Application Amp Health Record is an essential process for those looking to participate in the Pathfinder program. This comprehensive guide will walk you through each step of the form, ensuring that you provide all the necessary information accurately and efficiently.

Follow the steps to complete your application and health record effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the applicant’s demographic section. Provide your name, primary contact number, address, date of birth, email, city, state, zip code, school, and grade. Ensure you list a number where you can be reached at all times.
3. Complete the parent/guardian demographic section. Enter the names, email addresses, work addresses, and phone numbers for both parents or guardians. Include their cell phone numbers as well.
4. In the pickup authorization section, list the names of individuals authorized to pick up your child from Pathfinder functions. Note that your child will only be released to those listed unless prior arrangements are made.
5. Review and sign the parent/guardian agreement section, confirming that you have read the Pathfinder pledge and understand your responsibilities. Sign and date the document.
6. Move on to the medical history and information section. Answer all questions regarding your child’s health, allergies, dietary considerations, and medications. Be as detailed as necessary to ensure the safety of your child during Pathfinder activities.
7. Provide the insurance and physician information. List your primary physician’s name and phone number, as well as an emergency contact's name and phone number. Include your medical insurance information and policy number.
8. Certify that the medical information provided is accurate by signing and dating the parent/guardian section.
9. Finally, ensure that all sections are filled out completely, review the form for accuracy, and then save any changes made to the form. You may download, print, or share the form as needed.

Start completing your Pathfinder Application Amp Health Record online today!