2025 Health Form: Child with Sickle Cell

  • Health Form: Child with Sickle Cell Disease

    Must be completed by primary hematology team or primary care doctor.

  • Who is this form for?

    This form is for any child with sickle cell between the ages of 5-15 years old who is attending Happiness Is Camping's Sickle Cell Family Camp program. 

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  • Review of Systems

  • Rows

  • Physical Examination

  • Rows

  • Licensed Medical Personnel Authorization

  • Authorization

    I have reviewed the camper/sibling health history form and have discussed the camp program with the camper's parent or guardian. It is my opinion that the camper is physically and emotionally fit to participate in an active camp program (except as noted above).

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