1. (a) Each camper shall provide a health history and statement of health status to the director prior to entering the YRC. As specified in RSA 485-A:25-a, the examination on which the statement of health status is based may be conducted by a physician, licensed advanced registered nurse practitioner, or P.A.

2. (b) The health history and statement of health status required by (a), above, shall include the following:

   1. (1) A certification that the physical examination has been completed within 2 years prior to YRC entrance;
   2. (2) A description of any camp activities from which the camper should be exempted for health reasons;
   3. (3) Unless exempted in accordance with RSA 141-C:20-c, of immunization as specified in He-P 301.14, as reprinted in Appendix C;
   4. (4) A list of all known or suspected allergies;
   5. (5) If the YRC will provide food, identification of all dietary restrictions and any food allergies not listed under (4), above;
   6. (6) A list of all prescribed or over-the-counter medications being taken by the camper; and
   7. (7) To the extent not covered by (2) - (6), above, a description of any current physical, mental, or psychological conditions that require medication, treatment, or special restrictions or considerations while at the YRC.
3. (c) The YRC owner shall retain all documentation required by (b), above, for not less than 2 years.

4. (d) The YRC owner or director shall:

   1. (1) Develop a written policy to establish what health information is required for YRC staff; and
   2. (2) Provide a copy of the policy to any parent or legal guardian of a camper or prospective camper upon request.

Source. (See Revision Note #1 and Revision Note #2 at chapter heading for Env-Wq 900) #12364, eff 9-1-17