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Staff Health Form

You are here: Home1 / Staff2 / Staff Health Form

Wayfinder Staff Health Form

  • Health Form and Emergency Contact

    Privacy notice: This information is needed to alert camp administration of the medical needs of the camp population. It will be treated as confidential medical information, and will be given to appropriate medical service providers in case of an emergency.

  • MM slash DD slash YYYY
  • Have you had 2 doses of MMR since you were born?
  • Please bring medications in their ORIGINAL CONTAINERS. Medications will have to be kept under lock and key through wellness or your own lockbox or locked car. No staff medications can be kept in rooms with campers.
    Please provide a hard copy of your immunization records. If you cannot provide these records, you will be on the unimmunized staff list and may be sent home should exposure to measles occur.

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Office: 61 O’Neil Street
Kingston, NY 12401
(845) 481-0776
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