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 Dhmh 4768 2015-2025

4768 2015-2025 Form

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What is the DHMH 4768?

The DHMH 4768 form, also known as the health form, is a document used primarily for health assessments related to camp participation in the state of Maryland. This form collects essential health information about campers, ensuring that camp administrators are aware of any medical conditions, allergies, or medications that may affect a child's participation in camp activities. It is crucial for maintaining the health and safety of all campers.

How to Obtain the DHMH 4768

To obtain the DHMH 4768 form, individuals can visit the official Maryland Department of Health website or contact local health departments. The form is typically available as a downloadable PDF, making it easy to print and fill out. Some camps may also provide the form directly to parents during the registration process.

Steps to Complete the DHMH 4768

Completing the DHMH 4768 form involves several key steps:

  • Gather necessary information, including the camper's medical history, allergies, and current medications.
  • Fill out personal details such as the camper's name, date of birth, and contact information for parents or guardians.
  • Provide emergency contact information and any specific health concerns that camp staff should be aware of.
  • Review the completed form for accuracy before submission.

Once completed, the form should be submitted to the camp's administration as instructed, either online or in person.

Key Elements of the DHMH 4768

The DHMH 4768 form includes several key elements that are essential for camp health assessments:

  • Camper Information: Includes the camper's name, date of birth, and contact details.
  • Medical History: Details any pre-existing conditions, allergies, or chronic illnesses.
  • Medications: Lists any medications the camper is currently taking, along with dosage and administration instructions.
  • Emergency Contacts: Provides names and phone numbers of individuals to contact in case of an emergency.

Legal Use of the DHMH 4768

The DHMH 4768 form is legally binding and must be completed accurately to ensure compliance with health regulations for camps in Maryland. It is important for parents and guardians to understand that providing false information can have legal implications and may jeopardize the camper's participation in activities. The information collected is protected under privacy laws, ensuring that it is used solely for health and safety purposes.

Form Submission Methods

The DHMH 4768 form can be submitted through various methods, depending on the camp's requirements:

  • Online Submission: Some camps may offer an online portal for submitting the form electronically.
  • Mail: Parents can print the completed form and mail it to the camp's administration office.
  • In-Person: The form can also be delivered directly to the camp during registration or orientation.

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