Medical Forms

MANDATORY

IF TAKING MEDS

IF TAKING MEDS

In order to provide the best medical care for your children we need all forms to be completed and submitted by May 1, 2021 to give adequate time for the camp nurses to review the information.

 

Please email email Abby (abby@campmosh.org)fax us or mail in your forms to our Adminstrative Office.

 

Physician Form - The ACA medical form found in CampMinder is the only form we will accept (also available below). We can not accept other medical exam forms.

 

Proof of Insurance - Please submit a copy of your insurance card (front and back).

 

Health History - This form is found only in Campminder in the forms and documents section and can only be completed online.

 

Please click here to log into your CampMinder account.

 

If your camper will be taking prescription OR over-the-counter medication at camp, these forms must be submitted:

 

Medical Authorization Form & Daily Medication Form

 

All camper medications, vitamins, supplements are filled with Paradise Professional Pharmacy. Once you have submitted your camper’s medical forms, the pharmacy will contact you directly to review the prescriptions. Exceptions will be made on a case by case basis so as not to create a financial burden for our camp families. These exceptions must be arranged with the pharmacy and the Mosh nurse.

 

PLEASE NOTE: If your child requires a specific brand or manufacturer of medication, please have the doctor write the brand/manufacturer into the prescription. Otherwise, your camper’s medication may be filled with a generic version if it is available.

You can reach the Pharmacy at (410) 744-5959. The camp nurses will be available beginning in June at moshnurse@campmosh.org.

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Habonim Dror Camp Moshava

Office: 6101 Executive Boulevard, Ste 319| North Bethesda, MD 20852 | Campsite: 615 Cherry Hill Road| Street, MD 21154 

Phone: (301) 348-7339 (office ) or (410) 893-7006 (camp) | Email: info@campmosh.org