2026 Health Form: Child with Cancer

  • Health Form: Child with Cancer

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

  • Who is this form for?

    This form is for any child with cancer attending Happiness Is Camping's Summer Camp or Family Camp programs.

    You can also download a paper form here.

  • If you've already completed a paper health form, you can upload it here.

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  • Review of Systems

  • Rows

  • Physical Examination

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  • 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).

  • Format: (000) 000-0000.
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  • **FOR CAMPERS ON TREATMENT HAPPINESS IS CAMPING WILL CONTACT YOU SEVERAL WEEKS BEFORE THE CAMP SESSION FOR AN UPDATED MEDICAL ASSESSMENT AND DETAILS OF WHAT THE CAMPER WILL NEED WHILE AT CAMP.**

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