Fraser Health Medical Registration Form - Kids in the Grove 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the facility name and your child's full name. If your child has a different usual name, please include that as well.
3. Fill in the personal information section, including your child's date of birth, gender, starting date, address, postal code, and phone number.
4. Provide details for both parents or guardians, including their addresses and contact numbers. Ensure all fields are completed accurately.
5. In the emergency health information section, enter your child's care card number and details of their family doctor and dentist.
6. Complete the consent for emergency care by signing and dating where indicated.
7. List persons authorized to pick up your child and those not authorized. Include any custody agreements if applicable.
8. Document your child's immunization status by recording dates or attaching a copy of their immunization records.
9. Provide health information regarding regular medications, allergies, past injuries or illnesses, and any specific care instructions.
10. Finally, review all sections for accuracy before saving or submitting the form through our platform.

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