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Camp Okawehna - Forms

The Camp Okawehna registration applications and other necessary forms are listed below. Refer to the appropriate checklist (Hemodialysis, PD, Transplant or Other, Counselor, Child of Counselor) for the forms you must complete to attend Camp.

The forms below are fill-in forms, which means you can enter information on the screen while it is displayed in Adobe® Acrobat® Reader™ and then print the completed form. You also can print the blank form fill it in using a pen. Instructions for both methods are provided at the bottom of this page.

You also can read the History and Mission Statement for Camp Okawehna.

If you do not have Adobe Acrobat Reader installed on your computer, you can download it for FREE.

WARNING: The Adobe Acrobat Reader does not allow you to save your fill-in form.

	Main Camper Info Form (PDF - click to fill/print out)
	Consent for Hemodialysis and Emergency Medical Treatment (PDF - click to fill/print out)
	Health History Form (PDF - click to fill/print out)
	Permission Slip and Release (PDF - click to fill/print out)
	Medication Sheet (PDF - click to fill/print out)
	Assignments of Benefits Form (PDF - click to fill/print out)
	Hemodialysis Orders Form (PDF - click to fill/print out)
	What to Bring to Camp Checklist (PDF - click to print out)
	Consent For Emergency Medical Treatment (PDF - click to print out)
	Medical Records Release Form (PDF - click to print out)
	Camper Contract (PDF - click to print out)
	Notice of Privacy (PDF - click to fill/print out)
	Consent for Use and Disclosure of Health Information (PDF - click to print out)
	Copy of insurance cards
	Copy of most recent Hepatitis Lab Results
	Copy of most recent doctor visit with vital signs and list of medications

	Main Camper Info Form (PDF - click to fill/print out)
	Consent for Peritoneal Dialysis and Emergency Medical Treatment (PDF - click to fill/print out)
	Health History Form (PDF - click to fill/print out)
	Permission Slip and Release (PDF - click to fill/print out)
	Medication Sheet (PDF - click to fill/print out)
	PD Orders Forms (PDF - click to fill/print out)
	What to Bring to Camp Checklist (PDF - click to print out)
	Consent For Emergency Medical Treatment (PDF - click to print out)
	Medical Records Release Form (PDF - click to print out)
	Camper Contract (PDF - click to print out)
	Notice of Privacy (PDF - click to fill/print out)
	Consent for Use and Disclosure of Health Information (PDF - click to print out)
	Copy of insurance cards
	Copy of most recent doctor visit with vital signs and list of medications

	Main Camper Info Form (PDF - click to fill/print out)
	Health History Form (PDF - click to fill/print out)
	Permission Slip and Release (PDF - click to fill/print out)
	Medication Sheet (PDF - click to fill/print out)
	What to Bring to Camp Checklist (PDF - click to print out)
	Consent For Emergency Medical Treatment (PDF - click to print out)
	Medical Records Release Form (PDF - click to print out)
	Camper Contract (PDF - click to print out)
	Notice of Privacy (PDF - click to fill/print out)
	Consent for Use and Disclosure of Health Information (PDF - click to print out)
	Copy of insurance cards
	Copy of most recent doctor visit with vital signs and list of medications

	Counselor Application (PDF - click to fill/print out)
	Background Check Letter (PDF - click to view/read)
	Consent for Background Check (Required for all first year counselors) (PDF - click to fill/print out)
	Counselor Contract (PDF - click to fill/print out)
	What to Bring to Camp Checklist (PDF - click to print out)
	Vehicle Form (PDF - click to fill/print out)
	If performing Hemodialysis or Peritoneal Dialysis on campers, submit a copy of your nursing license and CPR certifications. If you are a physician, submit a copy of your medical license.

	Main Camper Info Form (PDF - click to fill/print out)
	Health History Form (PDF - click to fill/print out)
	Permission Slip and Release (PDF - click to fill/print out)
	What to Bring to Camp Checklist (PDF - click to print out)
	Consent For Emergency Medical Treatment (PDF - click to print out)
	Camper Contract (PDF - click to print out)
	Copy of insurance cards

1. Referring to the checklists above, find the type of camper/counselor you are.

All online forms and other necessary information are listed.

2. Any forms with the "PDF" indication mean it is an online form. Click on the first online form name.

The form opens in Abobe Acrobat Reader.

3. Click the mouse cursor in the first data entry field.

A flashing cursor appears in the first data entry field.

4. Type the requested information in the data entry field.
5. Press the TAB key on your keyboard to move your cursor to the next data entry field.

NOTE
To insert the checkmark character into checkbox fields, click the checkbox with your mouse.

6. When you finish typing the requested information, scroll to the top of the form.
7. To print the form to your default printer, click the Print Form button located in the upper right-hand corner of the form.
8. (Microsoft® Internet Explorer Users) Click the Back button in the browser toolbar to close the form and return to the checklist.
   (Netscape® Users) Select File»Close from the menu bar to close the form.

WARNING
The information that you typed will not be saved.

9. If the form has a signature field, sign the printed form in pen.
10. Follow steps 1-9 to fill and print out the remaining online forms in your checklist.
11. Referring to the checklist, provide copies any other necessary information (ex., copy of insurance cards, doctor's notes, medical licenses, etc.).
12. Fax all requested information to the Camp O Processing Department at fax no. (615) 329-2513.

13. OR

14. Mail all requested information to:
    Camp Okawehna Processing Dept
    c/o DCI
    1633 Church St, Suite 500
    Nashville, TN 37203

1. Referring to the checklists above, find the type of camper/counselor you are.

All online forms and other necessary information are listed.

2. Any forms with the "PDF" indication mean it is an online form. Click on the first online form name.

The form opens in Abobe Acrobat Reader.

3. To print the form to your default printer, click the Print Form button located in the upper right-hand corner of the form.
4. (Microsoft Internet Explorer Users) Click the Back button in the browser toolbar to close the form and return to the checklist.
   (Netscape Users) Select File»Close from the menu bar to close the form.
5. Fill out forms in pen.
6. If the form has a signature field, sign the printed form in pen.
7. Follow steps 1-6 to print and fill out the remaining forms in your checklist.
8. Referring to the checklist, provide copies any other necessary information (ex., copy of insurance cards, doctor's notes, medical licenses, etc.).
9. Fax all requested information to the Camp O Processing Department at fax no. (615) 329-2513.

OR

10. Mail all requested information to:
    Camp Okawehna Processing Dept
    c/o DCI
    1633 Church St, Suite 500
    Nashville, TN 37203

Contact Information

For more information or questions please contact:

Camp Okawehna
1633 Church Street, Suite 500
Nashville, TN 37203
Phone: 615-327-3061
Fax: 615-329-2513
Email: CampO@dciinc.org