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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
and
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 and see a list of What to
Bring to Camp.
If you do not have Adobe Acrobat Reader installed on your computer, you
can download
it for FREE.
WARNING: Some versions of Adobe Acrobat Reader do not allow
you to save your fill-in form.
Hemodialysis Patients
 |
Hemodialysis
Camper Packet (PDF - click to fill/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 |
PD Patients
 |
PD Camper Packet (PDF - click
to fill/print out) |
 |
Copy of insurance cards |
 |
Copy of most recent doctor visit with
vital signs and list of medications |
Transplant or Other Patients
 |
Transplant Camper Packet
(PDF - click
to fill/print out) |
 |
Copy of insurance cards |
 |
Copy of most recent doctor visit with
vital signs and list of medications |
Counselors
 |
Counselor Packet (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. |
Children of Counselors
Filling Out the Forms Online
- Referring to the checklists above, find the type of camper/counselor
you are.
All online forms and other necessary information are listed.
- 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.
- Click the mouse cursor in the first data entry field.
A flashing cursor appears in the first data entry field.
- Type the requested information in the data entry field.
- 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.
- When you finish typing the requested information, scroll to the top
of the form.
- To print the form to your default printer, click the Print Form
button located in the upper right-hand corner of the form.
- (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.
- If the form has a signature field, sign the printed form in pen.
- Referring to the checklist, provide copies any other necessary
information (ex., copy of insurance cards, doctor's notes, medical
licenses, etc.).
- Fax all requested information to the Camp O Processing Department,
Attn: Glenda Streicher at (615) 341-8814.
OR
Mail all requested information to:
Camp Okawehna Processing Department
Attn: Glenda Streicher
1633 Church St, Suite 500
Nashville, TN 37203
Printing Out the Forms and Filling them Out in Pen
- Referring to the checklists above, find the type of camper/counselor
you are.
All online forms and other necessary information are listed.
- 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.
- To print the form to your default printer, click the Print Form
button located in the upper right-hand corner of the form.
- (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.
- Fill out forms in pen.
- If the form has a signature field, sign the printed form in pen.
- Referring to the checklist, provide copies any other necessary
information (ex., copy of insurance cards, doctor's notes, medical
licenses, etc.).
- Fax all requested information to the Camp O Processing Department,
Attn: Glenda Streicher at (615) 341-8814.
OR
Mail all requested information to:
Camp Okawehna Processing Department
Attn: Glenda Streicher
1633 Church St, Suite 500
Nashville, TN 37203
Contact Information
For more information, please contact:
Andy Parker
Camp Okawehna
1633 Church Street, Suite 500
Nashville, TN 37203
Phone: (615) 327-3061
Fax: (605) 341-8814
Email: CampO@dciinc.org
Copyright ©
by Dialysis Clinic, Inc.
1633 Church Street, Suite 500
Nashville, TN 37203
(615) 327-3061
All rights reserved.
For information about this site, please contact the webmaster.
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