Client Health and Medical Record (2023/2024) Logo
  • Participant Health and Medical Record

  • Client information

    Tell us more about yourself (the client)
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  • Please be aware that CRIS staff and volunteers are not trained to provide personal care or behavioural interventions.

    Clients requiring 24 hour care will need to be accompanied by a care aid (or equivalent support person) for the duration of the Trip, unless otherwise agreed with CRIS management.

    Support personnel can attend free of charge, if you require more than one person, please contact the office to discuss your needs.

  • Emergency Contact Information

    Who can we contact for you in an emergency?
  • Health and medical information

    Detailed information helps us to keep you safe
  • Needs and adaptations assessment

    Detailed information helps us to adapt our activities for you
  • Medications

  • Clear
  • Clear
  • Should be Empty: