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Health Forms

Health Forms and exams are required for all Penikese Science + Nature Camp participants. Information on this page does not currently pertain to other programs on Penikese Island.

1. ON-LINE MEDICAL FORM: Parents & staff members should complete the detailed MEDICAL FORM within the CampBrain Portal. This does not require a doctor and serves as our primary searchable reference for health & medical information. 

The on-line Medical Form is integrated to our CampBrain Portal and is HIPPA compliant. The form includes extensive data including camper medications & allergies, other health conditions consents/non-consents for specific over-the-counter medications, health insurance info in case of emergency and other general information. 

2. PHYSICIAN’S PHYSICAL EXAM: Campers & Staff attending Science + Nature Summer Camps, must additionally submit a Physician’s Physical Health Exam Form. This Physical Exam is a Massachusetts state requirement and serves as a verifying supplement to the On-line Medical Form submitted by Parents and staff members.

You may download and use our Health & Immunization Certificate Form, or if you wish, you may use a different form provided by your doctor. 

Any Physician’s HeaIth form should include:

  • Report of a Physical Exam by a licensed Health Care Provider that has been conducted within the last 18 months;

  • A medical history, listing any allergies, required medications, and any health conditions or impairments which may affect the individual’s activities while attending camp;

  • An immunization record. 

When you have a completed, signed form, please upload it at our CampBrain Portal (instructions below)

3. VACCINATION CARD: If your child has been vaccinated (fully or partially) before camp,please upload a photo or scan of their vaccination card at at our CampBrain Portal (instructions below)

To ACCESS &/or UPLOAD forms in our CampBrain Portal:

Please login at

Scroll down to click the Summer Camp 2021  button

Scroll down to view:

    • FORMS box (right-hand side) showing a list and the current status of all forms due before camp

    • UPLOADS box (left-hand side) showing where and what uploads to take care of before camp.  

CDC Self-Checker

For Students, Staff, Scientists and Volunteers

The Coronavirus Self-Checker is an interactive clinical assessment tool that will assist individuals ages 13 and older, and parents and caregivers of children ages 2 to 12 on deciding when to seek testing or medical care if they suspect they or someone they know has contracted COVID-19 or has come into close contact with someone who has COVID-19.

The online tool asks a series of questions, and based on the user’s responses, provides recommended actions and resources.

Our detailed COVID-19 protocols and procedures for campers & parents can be found in Camp Announcements.

Medical Record Analysis

Physical Health Exam Form

For certain Penikese Island Discovery programs, including both girls and boys Science + Nature Summer Camps, we require students to complete and submit a Physical Health Exam Form. 

Please download the Physical Health Exam Form and return according to procedures detailed in your acceptance to a summer camp session.

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