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Medical Forms and Policies

In order to provide the best medical care for your children we need all forms to be completed and submitted by April 30, 2024 to give adequate time for the camp nurses to review the information.

 

Please upload your forms to CampInTouch; email Diane (diane@campmosh.org); fax us at 240.238.6430; or mail in your forms to our Administrative Office (Camp Moshava, 6101 Executive Boulevard, Suite 319, N. Bethesda, MD 20852).

Physician Form - This form is found in CampInTouch and above. This is the only version we will accept.

 

Proof of Insurance - Please submit a copy of your insurance card (front and back) if we do not already have it on file from a past summer.

 

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

 

All medications (prescription and over-the-counter) require the Medication Administration Authorization form for the camp nurses to administer. 

 

Camp Mosh has contracted with Fallston Pharmacy, in Fallston, MD, for the dispensing and packaging of prescription medications. Processing fee is $5.00 for each blister pack card, plus co-pay. Fallston pharmacy accepts most medication insurance coverage plans.

 

Fallston Pharmacy contact information:

phone: 410.879.9000
fax: 410.879.9047

email:
fallstonpharmacyltc@gmail.com

Please ensure that Fallston Pharmacy receives prescription(s), health insurance card information, and completed credit card authorization form two weeks prior to your child’s first day at camp.

 

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.

Parents may send/bring their child's emergency medications to camp (Epipens and inhalers) provided they are in original packaging, are not expired and have a pharmacy label affixed. 

Parents may bring/send over-the-counter medications and supplements (unopened bottle/box) to camp.  

If you have any questions about medications, please be in touch with Mosh's medical administrator, Diane Bullard (diane@campmosh.org).

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