Dhmh 4768-2025

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  1. Click ‘Get Form’ to open the dhmh 4768 in the editor.
  2. Begin by entering the child's name at the top of the form. This is essential for identifying your child throughout their camp experience.
  3. Fill in the first emergency contact details, including the name and phone number of a parent or legal guardian. This ensures that you can be reached in case of an emergency.
  4. Provide information for a second emergency contact who is not the parent listed above, along with their phone number.
  5. Next, enter your child's physician's name and phone number to facilitate medical communication if necessary.
  6. In the health information section, indicate any health problems by selecting 'YES' or 'NO' and provide explanations if applicable.
  7. Address any medications, dietary restrictions, allergies, or special needs similarly by selecting 'YES' or 'NO' and explaining as needed.
  8. Complete the immunization information section based on your child's residency status. Fill in either state/territory or country as required.
  9. Finally, ensure to sign and date the form at the bottom before submitting it through our platform for processing.

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