A camp health form has two halves. You fill in the first: contacts, allergies, medicines, immunization dates, insurance and a signed permission. Your child's health-care provider completes the exam half, and you can't. Keep your answers on one page all year, then copy from it.
This is for parents of a child heading to a US camp, school or sports team. Every place sets its own requirements, so the form and instructions it sends beat this page. It isn't medical advice.

Example: the parent half of one camp form
Say the packet arrives in April and the return date is three weeks away. You open the parent pages and start hunting: a vaccine record in a drawer, a member ID on a card in your wallet, the dose of the allergy pill on a bottle. The table shows what one widely used camp form (the American Camp Association's Camper Health History Form) asks on its parent pages, next to an invented answer for a made-up child. Every name and number is made up.
What the form asks, and a filled sample (example)
The child is invented. The right column is where you would copy the answer from.
Birth date, home address
- Sample answer
- 04/02/2018
- Copy it from
- Your page
Parent to contact, second contact, a third if neither answers
- Sample answer
- Sam (dad), (555) 010-0142
- Copy it from
- Your page, plus two more names
Allergies and the reaction seen
- Sample answer
- Peanuts, hives
- Copy it from
- Your page
Medicines: name, reason, when, dose
- Sample answer
- Cetirizine 5 mg, once a day, morning
- Copy it from
- Your page and the label
Immunization dates, month and year
- Sample answer
- MMR 05/2019 and 06/2023
- Copy it from
- The provider's record
Insurer, policy number, subscriber
- Sample answer
- Acme Health, ID XYZ123456, group G77
- Copy it from
- Your card
Doctor and dentist, with phones
- Sample answer
- Dr. Patel, (555) 010-0100
- Copy it from
- Your page
| The form asks | Sample answer | Copy it from |
|---|---|---|
| Birth date, home address | 04/02/2018 | Your page |
| Parent to contact, second contact, a third if neither answers | Sam (dad), (555) 010-0142 | Your page, plus two more names |
| Allergies and the reaction seen | Peanuts, hives | Your page |
| Medicines: name, reason, when, dose | Cetirizine 5 mg, once a day, morning | Your page and the label |
| Immunization dates, month and year | MMR 05/2019 and 06/2023 | The provider's record |
| Insurer, policy number, subscriber | Acme Health, ID XYZ123456, group G77 | Your card |
| Doctor and dentist, with phones | Dr. Patel, (555) 010-0100 | Your page |
Notice how much of the right column is one page you already own, and how little of it is memory. The two entries that need a document are the vaccine dates and the insurance card, which is why they take longest.
Who fills in what
On the ACA form the split is written into the instructions.
- Contacts, allergies and medicines
- Immunization dates and insurance details
- The history questions and your signature
- The health-care recommendations page, signed by your child's provider
- Anything the camp fills in on arrival, such as its own screening
You
- Contacts, allergies and medicines
- Immunization dates and insurance details
- The history questions and your signature
Provider or camp
- The health-care recommendations page, signed by your child's provider
- Anything the camp fills in on arrival, such as its own screening
Work through it in this order
- Get this year's forms and read the instructions before you write anything. Find the return date and mark which pages are yours and which are for the provider.
- Book the provider's visit first, since it depends on someone else's calendar. The ACA form's instructions are to give the provider a copy of your completed parent pages along with their own page.
- Fill in your pages by copying from your one page, not from memory. Where the form asks something your page doesn't hold, write it on your page too, so next year it's there.
- For vaccines, attach a copy of the record. The ACA form says copies from a health-care provider or a state or local government are acceptable, and asks for the month and year of each dose. Ask your provider's office for the record if you don't have it.
- List every medicine, including vitamins and natural remedies. The ACA form defines medication that broadly. Check the camp's rules on packaging: the form notes that many states require original pharmacy containers with labels, and a sample ACA camp policy says the same and has a nurse handle them. Ask the camp how much to send.
- If the form asks for insurance, copy both sides of the card as it instructs. Keep the card itself.
- Read the permission paragraph before you sign it. On the ACA form it lets the camp's physician treat your child in an emergency and lets the camp share the form with staff on a need-to-know basis. It's yours to sign, not the doctor's.
- Send the signed original by the return date and keep a copy, as the form directs. Put the copy with your page.
Where a page of answers stops helping
The yes and no history section is the part a parent's page covers least. The ACA form asks about hospital stays, surgeries, recurring illnesses, injuries, asthma, seizures, travel outside the country in the past nine months and more, then invites you to explain each yes. Answer from what you know and say so when you're unsure. If a yes needs detail you don't have, the provider's office can supply it.
An allergy or asthma action plan is another case. That's a document your child's clinician writes and signs, and a page you typed can't stand in for it. Ask the clinician and the school or camp what they want on file. Sports and school forms may split the same way or not, so read each one's instructions instead of assuming.
Questions parents ask
What is a camp health form?
It's the packet a camp sends before a session. On the ACA's version, parents fill in contacts, allergies, immunization dates, medicines, insurance and health history and sign a permission, and the child's health-care provider completes a separate recommendations page. Camps differ, so use the one you're sent.
Can I fill in the doctor's part of the camp form myself?
No. The provider's page is completed and signed by your child's health-care provider, and the ACA form's instructions say to hand it to them with a copy of your part. Book that visit first, because it depends on their schedule, and use the wait to complete your own pages.
What vaccine information do camps want?
The ACA form asks for the month and year of each dose and accepts copies of the record from a provider or a state or local government, attached to the form. Ask your provider's office for a copy if you don't have one. Your own list can help you fill in, but the record is what you attach.
Do I send the original form or a copy?
Follow the camp's instructions. On the ACA form you complete the parent pages, make a copy, and send the signed original by the requested date, then give the provider the copy with their page. Keeping a copy also gives you a starting point next year.
Does the camp give my child their medicine?
That depends on the camp. The ACA form and a sample ACA policy point to original pharmacy containers with labels and staff who handle them. Ask the camp how it wants medicines packaged, how much to send, and whether it needs anything signed for each one.
Where the Family Health Binder fits
Family Health Binder keeps these answers for each child, and its Forms sheet prints them in the order many forms ask: birth date and emergency contact, insurance, doctors and pharmacy, allergies, conditions, medicines and vaccines. Vaccines are names and dates you type from the record, and the sheet never says what is due. It doesn't fill in the form, hold the provider's page or an action plan, or keep a scan of a card or record. You can mark a record private so it stays off the printed page, and the sheet says how many it left off. For the shorter sheet a sitter needs, see the babysitter and grandparent info sheet. For what to keep off any page you hand over, see what to leave off a health page.
Sources and how we checked
- Camper Health History Form (American Camp Association, with the American Academy of Pediatrics Council on School Health and Association of Camp Nurses): The parent/provider split, instructions to copy and send the signed original, immunization dates and attached copies, the broad definition of medication, original pharmacy containers, insurance card copy, the history questions and the permission wording.Checked 26 September 2026.
- Sample health-care policies and procedures (American Camp Association): A sample camp policy: a physician's exam alongside the health form, parental permission for routine and emergency care, and medications in original labeled pharmacy containers under a nurse's supervision.Checked 26 September 2026.
Where to go next
- What to put in a family medical binder
To keep the answers these forms ask for in one place all year, start with the family medical binder.
- Babysitter information sheet: what to put on it
When the form is for a sitter or grandparent rather than a camp, this is the shorter sheet to fill in.
- Emergency contact information sheet: what to include
Most forms want two people to call, and this shows how to write that emergency contact page clearly.