Booking - Wellness

Health Camp

Personal Form

Firstname

Lastname

Phone number

camp

Check-in

Participants

* Children under 12 years old are not allowed to join the health camp

Do you have any underlying disease ?

underlying disease

No Yes

Please inform underlying disease

Do you have any drug allergy ?

drug allergy

No Yes

Please inform drug allergy

food allergy

Group Form

Firstname

Lastname

Phone number

Position

Company name

Camp

Check-in

Participants

* Children under 12 years old are not allowed to join the health camp

note

WeCare Clinic

Firstname

Lastname

Phone number

Clinic

Program

initial symptoms

Date

Time

Do you have any underlying disease ?

underlying disease

No Yes

Please inform underlying disease

Do you have any drug allergy ?

drug allergy

No Yes

Please inform drug allergy

food allergy

WeCare Program

Firstname

Lastname

Phone number

Program

Check-in

Participants

food allergy