Student Recreation and Wellness Services Health History Form
This trip/program involves participation in activities which are, by nature, physically demanding, and often times take place in remote locations without the opportunity for immediate medical attention. As a participant of a Student Recreation and Wellness Services Trip we require full disclosure of your current health. The information you provide is essential, as it may assist with your care in the event of an accident. Full and accurate completion of all sections is very important. The provided information will be kept confidential between the trip leader(s), and health care professionals in the event of an accident.
This form is not used to evaluate your ability to participate in any activities. Only qualified health care professionals can make that decision.
Each participant is strongly encouraged to be covered by his/her own health insurance. The University of Akron, Student Recreation and Wellness Services, and Outdoor Adventure do not provide sickness, health, or accident insurance.