Gscnc health history form 2025

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4.8 out of 5

83 votes

The document is a comprehensive health history and emergency medical authorization form for girls participating in Girl Scouts. It requires annual completion by a parent or guardian, detailing the child's personal information, health conditions, allergies, medications, and emergency contacts. The form also includes consent for medical treatment during Girl Scout activities and must be submitted before the first troop meeting.

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Click ‘Get Form’ to open the gscnc health history form in the editor.
Begin by entering your child's name, address, date of birth, age, city, school, state, grade, and troop number in the designated fields.
Fill out the parent/guardian information section. Indicate who has custodial care of the child and provide contact details for both parents or guardians.
In the emergency contacts section, list two individuals along with their relationship to your child and multiple phone numbers for each.
Complete the health information section by checking applicable allergies and conditions. Provide explanations where necessary.
Fill in immunization history and medication information accurately. Ensure to note any prescription medications being taken.
Review the authorization for medical care section carefully before signing and dating it at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (83 Votes)
2012	4.3 Satisfied (39 Votes)
2009	4 Satisfied (42 Votes)

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