Health Forms
Please remember to complete your camper’s Health History Form on CampinTouch. If you completed the on-line Health History form in last year, you will only need to click through and confirm the details.
If your camper takes any daily over-the-counter medicines or prescriptions, please see the medication policy.
All campers must submit:
- Record of their childhood immunizations.
(Here is the list of the required immunizations for campers. You may have access to this on your patient portal.) - Record of their Covid-19 immunizations.
(If Covid is listed on the immunization record, you can upload that record into the space for the Covid card as well.) - Physician Exam form.
(If you submit a non-Chewonki form, please make sure it includes clearance for camp activities, not just school or sports.)
Other forms that may be necessary for your camper:
(*requires a provider’s signature)
- Psychotropic Medication Policy*
(If your camper takes medication for ADHD or a mental
health diagnosis.) - Non-food Allergy Action Plan*
(If your camper has a severe allergy to stings, etc.) - Food Allergy Action Plan*
(If your camper has a severe food allergy.) - Asthma Action Plan*
(If your camper has an asthma diagnosis.) - Self Administered Emergency Med*
(If you would like your camper to carry their own inhaler or epi-pen.) - Insurance Waiver
(If your camper is not covered by a health insurance plan.) - Immunization Exemption Form*
(If your camper is medically unable to be immunized.)
Questions?
Contact our Health & Wellness Center
Phone: (207) 656-5869
Fax: (207) 882-9564
Email: health@chewonki.org