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Participant Health History Template

As a part of the CU Boulder Youth Protection procedures document, there are documents and information that programs are both required and recommended to collect.

  • It is required that programs collect information on known allergies and dietary needs. 
  • It is recommended that programs collect a complete health history for each participant, including any communicable diseases, chronic illnesses or injuries, known drug reactions, and current medications. 
  • It is also recommended that programs collect documentation of immunization status or exemption as required by Colorado Department of Public Health and Environment (CDPHE). 


  Participant Health History Template