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HEALTH RECORD FOR CHILDREN IN DAY CAMPS & AFTERSCHOOL & YOUTH CENTERS (This side to be filled in by parent before presentation to physician) NAME OF PROGRAM / CHILD 'S LAST NAME FIRST NAME.

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How to fill out the DCR7(r 204) online

Filling out the DCR7(r 204) form is essential for ensuring the health and safety of children participating in day camps and afterschool programs. This guide will provide you with clear, step-by-step instructions to navigate the online form efficiently.

Follow the steps to complete the DCR7(r 204) online.

  1. Press the ‘Get Form’ button to access the DCR7(r 204) form and open it in your preferred editing tool.
  2. Begin by entering the name of the program in the designated area at the top of the form. This is crucial to ensure the health record is correctly associated with the specific camp or program.
  3. Provide the child's last name, first name, birthdate, and sex by filling in the respective fields clearly to identify the child accurately.
  4. Fill in the home address and phone number of the child to facilitate communication. Include the parent's or guardian's name and their contact numbers as well.
  5. List the place of employment and phone numbers for both the father (or guardian) and mother (or guardian) for emergency contact purposes.
  6. In case of emergency, provide contact details for at least two additional individuals who can be reached if the parents or guardians are unavailable.
  7. Indicate whether the child has been exposed to any communicable diseases in the three weeks prior to camp attendance by checking 'Yes' or 'No' and specify the type of exposure if applicable.
  8. Complete the health history section by checking any relevant boxes that apply to the child, documenting allergies and any past illnesses, operations, or serious injuries.
  9. Fill out the consent for emergency medical treatment, including the relationship to the child, your signature, and the date to authorize medical professionals to act in emergencies.
  10. Ensure that the physician's section is left blank, as it must be completed by a licensed physician during the physical examination.
  11. Once all parts of the form are filled out, save your changes. You can then download, print, or share the completed DCR7(r 204) form as needed.

Complete the DCR7(r 204) form online today to ensure your child's safe and healthy participation in day camp activities!

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