Camper Health History Form 1

Forms

American Camp Association

Member: $0.00
Non-Member: $125.00Your price

Format: PDF
Language: English

Used to gather current health information on campers (while designed specifically for campers, this form can be used for staff) contact information, allergies, medications, immunizations, and permission to treat. Form 1 does not require a physician's signature. For resident/overnight camps, the four-page Camper Health History Form 1 is accompanied by a one-page, stand alone, Camper Health-Care Recommendations by Licensed Medical Personnel Form 2.

Day Camps need only use Form 1 to meet ACA-accreditation standards (HW-2). These two forms used together will meet the ACA-accreditation standards for Health History and Health Exams (HW-2 and HW-6) for resident/overnight camps.

Disclaimer: ACA’s sample forms are just that — samples. You may, but are not required to, use ACA forms to meet ACA standards. You may create your own forms. In coordination with your health care staff and legal counsel and in accordance with your state laws, you must decide what your camp needs to collect on its forms.

Already an ACA individual member? Click "Add to cart" below then checkout and you will be able to download the PDF.

Not yet an ACA individual member? Either join ACA to download the PDF or you may purchase a 100 count package of the form from the ACA Bookstore.