Camping Health Consent and Release Form

Form Template

Information in this app is protected by HIPAA privacy laws and should be handled accordingly.

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GoCanvas Apps can easily be made HIPAA Compliant. The Camping Health Consent and Release Form mobile app is only good for travel to and from, and attendance at, a specific camp; it should not be used for any other camping trip. The app should be completed for each camp experience. The camp experience should be a safe and healthy one. However, in the event of an accident or illness, it is important that camps have the following information: Medical history; Medical insurance information; and Proof of physical examination, verified by Physician’s signature, required for ALL guests attending camps. Pregnant and Post-Delivery Teens: Pregnant teens up to 34 weeks and teen moms 6 to 12 weeks post-delivery on camp date must have a physician’s release. Teen moms less than 6 weeks post-delivery on camp date may not attend. Pregnant teens over 34 weeks to full term are not allowed to attend camp. Pregnant teens over 30 weeks may not attend remote/ rural camps.

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