Health History Form for Youth Camp Staff

Health History Form for Youth Camp Staff free to download, customize...



This six page medical history form for Youth Camp staff will need to be filled out by every camp staff member before Youth Camp begins. This form will help your Health Center staff become familiar with the camp staff before they start the actual camp. This form also helps with such circumstances as who is allergic to what foods before they plan and schedule what meals are going to be served throughout the duration of the Youth Camp.



With God leading and guiding our youth camp volunteers/staff the outcome of Youth Camp is always a success, and the children are usually leaving camp asking how many more days until camp for the next year.

Youth Camp is a widely familiar ministry and a great ministry where spiritual leaders can give the youth a week, more or less, of unbelievable fun and at the same time allow them to grow by leaps and bounds spiritually.

The Youth Camp Staff Health form should be filled out prior to camp just like the campers. This medical history form includes:

  • Name
  • Date of Birth and Sex
  • Address, Country and Phone
  • Return Completed Form to: Name, Address and Phone
  • Email Address
  • Allergies
  • Nutrition
  • Chronic Concerns
  • Immunization History
  • Medication
  • General Physical History
  • Mental and Emotional Health Information
  • Paying for Health Care
  • Emergency Contact
  • Authorization for Health Care - Youth Camp Staff Signature and Date
  • Youth Camp Nursing Notes

Providing your medical information on this six page form will help ensure that you get provided better care, and will help you better understand your own physical capabilities.

The stress and effects of the pressure of Youth Camp can lead staff workers to increased illnesses resulting in absenteeism, low levels of motivation, poor job performance and eventually burnout. Poor staff health has a negative impact on organizations that must reorganize resources to compensate for absent camp staff, deal with the time and financial costs of staff turnover, and could experience reduced quality of service to campers. This is why this medical history form is so important to have filled out before Youth Camp even starts.

If you have a Youth Camp, you will probably need the following form...
Click on the link to download the medical form templates for Youth Camp below:

Youth Camp Staff Health History Form


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

Note: You will need Adobe Reader (the latest version is recommended) installed on your computer in order to save or open these forms.

You can get Adobe Reader free here (a new window will open so you can download it without leaving this page).

If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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Note: These sample forms are meant to serve as example forms and should not be construed as legal documents.  Please contact a legal professional for legal language for your specific organization.


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