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Medical prescription / Health insurance / Health / Research / Pharmacology / Medicine / Pharmaceutical drug


Note: ADULT PROGRAM, 3-DAY PROGRAM, AND PARENT/CHILD ATTENDEES — this form IS NOT required. Advanced Adult Program attendees must complete the UAT SCUBA form. Health Form U.S. Space & Rocket Center® P.O. Box[removed]
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Document Date: 2010-04-30 14:36:45


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City

Huntsville / /

Facility

Camp Account / NO LATER THAN FOUR WEEKS PRIOR TO CAMP SESSION DATE Camp / /

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IndustryTerm

healthcare operations / herbal products / insurance card / health insurance / /

MedicalCondition

pain / Allergies / Food Allergies / learning disabilities / severe pulmonary dysfunctions / last tetanus / cough / chronic illness / motion sickness / /

MedicalTreatment

emergency treatment / immunizations / /

Organization

Health Form U.S. Space & Rocket Center / /

/

Position

physician / /

Product

ALL prescriptions / acetaminophen / ibuprofen / /

ProvinceOrState

Alabama / /

Technology

cellular telephone / /

SocialTag