Staff Medical Form

The state requires the medical director of youth summer camps to keep staff medical information on hand, presumably in case of a medical emergency which leaves you unconscious or incoherent. Please fill out the form below.

STAFF Medical form

When filling out the form:

• The form does not automatically save. Please allow enough time to fill out the form fully.

• Don't forget to hit the SUBMIT button once you have complete the form.  Thank you!