Special Camp's Health Form

Your camp nurse will have this form with her at all times. Most medications will be distributed during meals. Only special meds will be given at other times. Please list medications, dosages and time of day on this sheet. Please call the camp office if any medications change prior to camp.
    Please check any medications the camper may take while at camp
  • Please list all know allergies including foods, drugs, plants, animals, or any other. If your camper has no known allergies, please list NO KNOWN ALLERGIES.
  • Please provide any specific medicinal dispensary instructions including: give with food, give with water, etc...
  • Please indicate Medications and Dosage
  • Please indicate Medications and Dosage
  • Please indicate Medications and Dosage
  • Please indicate Medications and Dosage