HEALTH HISTORY and EXAMINATION FORM - Gwynn Valley Preview on Page 1

HEALTH HISTORY and EXAMINATION FORM - Gwynn Valley 2026

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  1. Click ‘Get Form’ to open the HEALTH HISTORY and EXAMINATION FORM in our editor.
  2. Begin by filling in the participant's name, birth date, and age at camp. Ensure accuracy as this information is crucial for medical staff.
  3. Complete the home address section, including street, city, state, and zip code. This helps in case of emergencies.
  4. Indicate whether the participant is a camper or staff member by checking the appropriate box.
  5. Provide insurance information if applicable. Attach photocopies of health insurance cards as instructed.
  6. List any medications being taken regularly along with their dosages and reasons for taking them. Be thorough to ensure proper care.
  7. Fill out the immunization section completely, ensuring all dates are accurate for compliance with camp requirements.
  8. Review all sections carefully before submitting. Make sure to sign and date the form at the end to confirm its accuracy.

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