Health History Form Part 2

Health History Form Part 2 contains a Camper or Staff Member's immunization History and information about chicken pox TB tests.

  1. Use the dropdowns to select the month and year for each of the Campers or Staff Member's immunizations.
  2. Select whether or not the Campers or Staff Member has had chicken pox. If yes, enter the date.
  3. Enter the date and results from the most recent TB test
  4. Enter the initials of the person completing the form
  5. Click "Submit form"
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