Camper Medical Forms

Roundup River Ranch offers a unique combination of awesome camp fun and unprecedented medical care. In order to provide comprehensive, individualized medical care for each of our campers, we require completed medical forms for every camp participant. Some of these forms must be completed by a licensed medical professional.

Forms are available for download below. If you have questions about the application process or the medical requirements, please contact our Camper Recruitment team via email at camperrecruiter@roundupriverranch.org or call 970.524.5713. 

A Note to Camper Parents/Guardians: The medical forms that your child’s physician and/or specialist must complete as part of your application(s) can be found on your Parent Dashboard.  To submit the completed printed forms, please upload them in the appropriate location on the 'Parent Dashboard Forms Page'. Other available options are either by fax at 888-524-2477 or by mail to Roundup River Ranch, C/O Camper Recruiter, 8333 Colorado River Rd., Gypsum, CO 81637.

Forms Required for Every Camper: 

• Colorado State Immunization Form 
• Immunization and Tuberculosis Policy
• Physical Exam Form 
• Flu Vaccine Paperwork 

Session-Specific Forms: 

To be completed based on the session the camper is attending/his or her diagnosis. 

• Dermatology Form
• Heart Disease Form 
• Kidney Disease Form
• Liver and Gastrointestinal Disease Form
• Lung Disease and Asthma Form
• Oncology Form
• Sickle Cell Form
• Solid Organ Transplant Form
• Stem Cell/BMT Transplant Form
• Type 1 Diabetes Form 

Other Forms, As Needed:

• Allergy Anaphylaxis Health Care Plan
• Asthma Action Plan
• CV Catheter Form 
• Infusion Pump Form
• Seizure Action Plan