Health Form

Dear Campers and Parents,

A little informative note from the health office at Camp Impact.

Health forms are good for two years. If you have any new immunizations please bring an updated immunizations form. If your physician uses his/her own form, that's fine. However, we will need to make sure that we have immunizations and a note from a physician documenting a physical exam.

Doctor's orders must be submitted every year for any medications brought to camp.

This health form must be completed by the parents and family physician and submitted along with your camper registration, signed code of conduct, and full tuition, $340. If you have any questions or concerns feel free to contact me.

Denise Gallant, RN

T7gallant@charter.net

413-813-9247

The required health form can be found below.

IMPACT-HEALTH-FORM-2019.pdf