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Microsoft word - medical recommendation revised 10-9-07.doc

To Parent(s)/Guardian(s): Complete this section and give this form (FORM 2) and a copy of your
completed CAMPER HEALTH HISTORY FORM (FORM 1) to your child’s health-care provider for review.
Developed and reviewed by: American Camp Association, Dates wil attend camp: from ______________to_____________ American Academy of Pediatrics Council on School Health, & Camper Name: _____________________________________________________________ " Male !" Female !!!Birth Date ____________ Age on arrival at camp ________ Mail this form to the address below by _______ (date)
Camper home address: ________________________________________________________ ____________________________________________________________________________ Custodial parent(s)/guardian(s) phone: (_______)______________ (_______)____________ Parent(s)/guardian(s) stop here. Rest of form to be completed by medical personnel.
The following non-prescription medications are Medical Personnel: Please review the CAMPER HEALTH HISTORY FORM (FORM 1) and complete all
commonly stocked in camp Health Centers and are remaining sections of this form (FORM 2). Attach additional information if needed.
used on an as needed basis to manage illness and injury. Medical personnel: Cross out those items the
Physical exam done today: " Yes " No (If “No,” date of last physical: ___________)
camper should not be given.
ACA accreditation standards specify physical exam within last 24 months.
Weight: _______ lbs Height: _____ft_____in Blood Pressure_______/_______ Pseudoephedrine (Sudafed) Chlorpheneramine maleate Allergies: " No Known Allergies
" To foods (list):
" To medications: (list):
Lice shampoo or scabies cream (Nix or Elimite) " To the environment (insect stings, hay fever, etc.– list):
" Other al ergies: (list):
Describe previous reactions:
Diet, Nutrition: " Eats a regular diet. " Has a medical y prescribed meal plan or dietary restrictions:(describe below)
The camper is undergoing treatment at this time for the following conditions: (describe below) " None.
Medication: " No daily medications. " Wil take the fol owing prescribed medication(s) while at camp: (name, dose, frequency—describe below)
Other treatments/therapies to be continued at camp: (describe below) " None needed.
Do you feel that the camper will require limitations or restrictions to activity while at camp?!" No " Yes
If you answered “Yes” to the question above, what do you recommend? (describe below—attach additional information if needed)
“I have reviewed the CAMPER HEALTH HISTORY FORM (FORM 1), and have discussed the camp program with the camper’s
parent(s)/guardian(s). It is my opinion that the camper is physically and emotionally fit to participate in an active camp program (except as

noted above.)
Name of licensed provider (please print): __________________________________Signature: _________________________________Title: _________ ___________________________________________________________________________________________________________ Telephone: (________)_____________________ Copyright 2008 by American Camping Association, Inc.

Source: http://www.orangeviewfamilyservices.com/Orangeview_Family_Services/Schedule_files/Camper_HealthCare_Recommendations.pdf

Laboratorios conda, s

OGA MEDIUM (OXYTETRACYCLINE GLUCOSE AGAR BASE) CAT Nº: 1527 For the enumeration and isolation of yeasts and molds in food samples FORMULA IN g/l Final pH 6.5 ± 0.2 at 25ºC PREPARATION Suspend 15 grams of the medium in 500ml of distil ed water. Mix well and dissolve by heating with frequent agitation. Boil for one minute until complete dissolution. Sterilize in autoclav

Hormonale therapy ii

De pagina’s van de navolgende oorspronkelijke Engelse tekst heb ik aangepast aan de vertaling, opdat eenvoudig een link kan worden gelegd naar het vertaalde stuk en omgekeerd. Jaap Bos Hormonal Therapy II: Second Line Hormonal Therapy Puzzle Points • In patients who’ve failed initial hormonal therapy, a standard approach is to initiate ketoconazole. • Transdermal

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