Health Information
Health History Form

Prior to attending camp you must furnish evidence of a physical examination conducted
during the preceeding 24-months, a completed Health History Form, a up to date shot records.
Campers who arrive at camp without a completed health history form and shot records  will not be able
to participate in camp activities until a parent brings completed information to camp. Parents of children
without forms on file will be contacted. The forms do not need to be filled out by a physician. The only
information your physician needs to supply camp with is up to date shot records. Please be sure to sign
the section that authorizes the medical staff to provide care for your child. If there is an emergency we
will contact the emergency contact listed on the health form. We would appreciate knowing of any
medical precautions, health problems or personal and emotional concerns that have been experienced
or might arise while at camp. The more we know the more secure we can make him/her feel.

Health Procedures

Below are the general guidelines for health care of Day Campers.

1. For any health problem, illness or injury, counselors administer basic first aid and then bring the
camper to the camp office.

2. If illness or injury requires more than basic first aid parents will be contacted immediately. If a parent
is unavailable the emergency contact person will be contacted.

3. Parents will be asked what they want to do with their child. If hospitalization is needed parents have
the option to transport themselves or the camp will contact an ambulance service. Staff will do what the
parents ask.

4. If an injury is life threatening the camper will be transported by an ambulance to University of
Massachusetts Medical Center.

Dispensing of Prescription Medication

As a general rule, medications should be given at home. However, in unusual circumstances
and under a physician's recommendation, medication may be taken during camp
hours under the following procedures:

1. An authorization form must be completed by a parent.

2. The parent/guardian statement to medicate is acceptable only if the medication is received in a
properly labeled pharmacy prescription container bearing a current date, appropriate camper's name,
drug name, and the prescribing physician's names, as well as the prescribed dosage and
administration time.

3. The container of medication and the authorization will be brought to and stored with  the camp
director or assistant director at the camp office.


DISPENSING OF NON-PRESCRIPTION MEDICATION

Nonprescription medication must be accompanied by a signed parent/guardian request.
This request note should bear the child's name, name of substance and the time the parent
wishes the child to receive the medication.

CAMP RESPONSIBILITY RE: MEDICATION DISTRIBUTION

The medication must be taken in the presence of a camp staff person. All medications will
be stored in a locked area of the camp office. The child's name, time, and medication given
will be logged in the camp medical log.

PERSONAL CAMPER INFORMATION

Our forms ask specific personal information regarding your child. The commitment is
never to misuse such information or to release it to unauthorized persons. It will never be
used at camp unless necessary; and then only with the greatest discretion. The camp
director will inform you of any need to share this information with the staff. The staff
will certainly let you know if your child is having difficulty. If you have any special
concerns about this information or your child, please feel free to set up an appointment to
speak with the director. We encourage your communication with the staff.  As a "team"
we can better assure your child of a successful time at camp.