Allergic Rhinitis

Select if the person has been diagnosed as suffering from allergic rhinitis, which is an allergic reaction to airborne particles that primarily affect the nose and eyes.

There are two types of allergic rhinitis:

• seasonal allergic rhinitis (hay fever)
• perennial allergic rhinitis, which occurs all year round.

Enter additional comments as required.

Chicken Pox

Select if the person has contracted chicken pox. Enter additional comments as required.

Enuresis

Select if the person wets their bed.

Enter additional comments as required. For example, special requirements may be needed for school camps, particularly to ensure that the student does not become distressed during their camp experience.

Haemophilia

Select if the person has been diagnosed as suffering from haemophilia, which results in impaired blood clotting.

Enter additional comments as required. For example, special requirements may be needed for school camps.

Hay Fever

Select if the person has been diagnosed as suffering from seasonal allergic rhinitis. Enter additional comments as required.

Also, see Allergic Rhinitis above.

Heart Condition

Select if the person has been diagnosed as suffering from a heart condition. Enter additional comments as required.

Hepatitis

Select if the person has been diagnosed as having liver inflammation. Enter additional comments as required.

Measles

Select if the person has been diagnosed as having been infected by the measles virus, paramyxovirus.

Enter additional comments as required.

Mumps

Select if the person has been diagnosed as having been infected by the mumps virus, typically causing inflammation of the salivary glands.

Enter additional comments as required.

Rubella

Select if the person has been diagnosed as having been infected by the Rubella virus.

Enter additional comments as required.