Camper ID
Full legal name, date of birth, preferred name, gender, and camper ID number if assigned; essential for matching records and medications.
A accurately completed medical form reduces response time in emergencies, ensures medical staff have critical clinical information, and documents consent and liability protections for the camp and caregivers.
Parents or legal guardians normally complete the form before the camper arrives; camp medical staff and on-call clinicians use it during care.
Keep a signed copy with camp records and provide the family with a return receipt or confirmation when possible.
Full legal name, date of birth, preferred name, gender, and camper ID number if assigned; essential for matching records and medications.
Primary and alternate contacts with phone numbers, relationship, and authorized pickup persons to ensure timely reunification after incidents.
Chronic conditions, past surgeries, recent illnesses, physical limitations, and special needs so staff can identify red flags quickly.
List allergens, typical reaction, and required emergency medication (epi-pen dose/route) to guide urgent care decisions.
Prescription and over-the-counter meds with dose, schedule, administration instructions, and parent/guardian authorization for camp staff to administer.
Parent/guardian signature, date, and emergency treatment consent; includes permission for transport and instructions for refusing/accepting specific treatments.
| Field | Configuration |
|---|---|
| Authentication Method | Email link or SMS code |
| Required Fields | Make name, DOB, allergies, meds mandatory |
| Attachment | Allow immunization upload (PDF/JPG) |
| Delivery | Email copy to camp health staff |
Ensure any e-signature platform meets authentication, encryption, and retention needs for medical data.
Verify HIPAA protections and BAA availability for the vendor when handling protected health information.
Submit at least 2 weeks before camp start for review
Provide meds and signed instructions before first day
Submit per camp policy, commonly 2–4 weeks ahead
Notify camp immediately of changes in condition
Bring updated signed form at check-in
Save signed forms as PDF/A to preserve layout and signatures; keeps an immutable, portable copy suitable for long-term records.
Store editable DOCX or form templates securely for future reuse while preserving a signed PDF for the official record.
Use secure repositories that support access controls and audit trails; prefer platforms with SOC 2 and ISO 27001 certifications.
Keep an export log including who downloaded a copy and when to support chain-of-custody for PHI.
Optica implemented online intake to simplify family submissions and staff access.
Xerox integrated intake with its operations to route completed forms to the right team.