[Illustration: HEALTH CERTIFICATE
The following must be filled out by a physician _within three days_ of
the time the girl enters camp. It should preferably be done by someone
who has known her for some time. The object of this certificate is: (1)
to safeguard child and others against contagious diseases; (2) to make a
basis for judging the suitability of camp life for her, and make
possible any necessary precautions, particularly in regard to exercise.
I, .........................................................
have this day,......................,19 personally examined
............................................................
........years, of................................,.........,
and believe the following to be a complete statement as to her
health and bodily condition:
_Contagious disease_: State child's condition and whether she has been
exposed and if any quarantine is necessary.
_Nutrition_: Excellent Good Fair Poor Very Poor
_Anemia_: Hemoglobin content:
_Prepubertal_ or _postpubertal_. Menstruation: Established
Any disturbance?
_Eyes_: R L Glasses? _Ears_: R L
_Nose_: _Throat_: _Teeth_:
_Muscles_:
_General Nervous System_:
_Stomach_: _Bowels_:
_Skin_: _Head_: _Skeletal_: Back
Feet
_Temperature_:
_Heart_: Rhythm: Sounds: Any disturbance?
_Blood Pressure_: Systolic: Diastolic: Compensation:
_Lungs_:
As a general summing-up of recommendations in regard to whole
condition outlined above, I recommend the following:
1. Diet:
2. Rest:
3. Exercise:
a. Should keep quiet.
b. Can exercise moderately.
c. Any reasonable exercise.
d. Can take heavy exercise.
e. Can (cannot) walk swim run jump
climb
4. General camp life:
5. Additional notes:]
Another record of great importance and interest is the Health
Certificate shown on page 52, which should be kept on file in camp and
later in the office of the Local Council for a period of three months,
and then forwarded to the National Headquarters, Girl Scouts, Education
Department, for use in compiling a Scout Health record. If during a
Scout's stay in camp she is ill, meets with an accident or needs the
attention of a nurse in any way, the date, a note stating the trouble,
and what was done for the child, as well as her height and weight at
entrance and leaving, can be entered on the back of the certificate. The
form shown was made by the Education Department of National Headquarters
of Girl Scouts, and it is expected that it will be on sale and available
for use by all Local Councils.