| Document Date: 2014-02-27 08:54:33
Open Document File Size: 144,13 KBShare Result on Facebook
City Chestertown / / Facility CAMP CANNOT ACCEPT PREPOURED MEDICATIONS / Camp Fairlee / / / IndustryTerm transportation / insurance purposes / / MedicalCondition Or Measles / Medication Allergies / Allergies / last seizure / TB / Polio MMR / headache / *Blister / Or Mumps / seizures / tetanus/diphtheria / chicken pox / every_____allergy / itching / fever / seizure / pain / Food Allergies / Loratadine ______mg every_____allergy / Downs Syndrome / diarrhea / last Tetanus / Other Allergies / Varicella / / MedicalTreatment Immunization / immunizations / catheterization / vaccination / tube feeding / / / Position physician / Eyes Lungs Posture Balance Nose Abdomen Speech Coordination Ears Genitalia Circulation Spasticity Throat Skin Sensation Motion Limitations Heart Extremities Osteoporosis Height Weight General / Physician Office / licensed physician / local health officer / / Product Loratadine / Benadryl / Ibuprofen / PRN MEDICATION / Tylenol / Hydrocortisone / / ProvinceOrState Maryland / / Technology x-ray / /
SocialTag |
PARTICIPANT HEALTH FORM Easter Seals Camp Fairlee[removed]Bay Shore Road