Blazesports Bsa Participant Medical Information Form Page 3
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3Are you continent of bladder? Yes
No
Are you continent of bowel? Yes
No
What type of bladder management do you use?
None
indewelling catheter
intermittent catheter
If intermittent, what is your cathing schedule? ______________________________
Parent/ Guardian Name__________________________________________________
Parent/ Guardian Signature_______________________________________________
535 North McDonough Street | Decatur, Georgia 30030 | 404.270.2000 main | 404.270.2039 fax |
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