2014 Medication Information for Camp Joyful Hearts

Please list all medication your cardiac child is on at home. Include the drug name, dose, how many times a day it is given, and at what time.

PLEASE FILL OUT ONE FORM PER MEDICATION. A link to "Submit another response" will be at the end of this form. Please continue to "Submit another response" until all of your child's medications have been recorded.

If you have any issues or questions while recording medication information, please email heartcamp@cchmc.org.

Our medical staff will use this information to ensure your child receives the appropriate medication throughout the week of camp.

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question