Health Form健康登记表.docVIP

Health Form健康登记表 亲爱的志愿者Dear Volunteer, 这一份健康登记表是报名参加地球观察科研考察的一个重要组成部分。没有本健康登记表和医生表格（第四页），地球观察研究所无法允许您参与科学考察。This health form is an important part of signing up to be a volunteer on an Earthwatch expedition. Without this health form and the doctor’s form (page 4) on file, Earthwatch Institute cannot permit you to participate in an expedition. 健康登记表包括Health Form Checklist: 完整填写这份登记表的志愿者部分Fill out the volunteer portion of this form completely 将这份登记表与《项目手册》带给您的医疗服务提供者。如果您还没有收到《项目手册》，在您做志愿者之前又需要的话，请跟地球观察联系Take this form and your Expedition Briefing to your medical care provider. If you have not received an Expedition Briefing, and need one prior to your appointment, please contact Earthwatch. 请您的医生仔细阅读《手册》里面“项目条件”和“健康信息”两部分，请您的医生在这份登记表的最后一页签字，以证明您有能力参加科考活动Ask your doctor to read the “Project Conditions” and “Health Information” portions of your Briefing and ask the doctor to sign the last page of this form, verifying that you are able to participate. 您的医生的签字日期与您开始科考活动之间间隔不得超过一年Have your health form signed by your doctor within one year prior to the start date of the expedition. 您的登记表必须由医生来签署。Your form must be signed by a doctor or, in the US only, a nurse practitioner or physician’s assistant. 将登记表在科考开始60天前寄回我们的办事处Return your form to our office at least 60 days before your expedition start date. 如果在提交登记表以后，您又出现了一些医疗状况的话，请立即联系地球观察。如果您没有能够及时通知我们所发生的变化，那么地球观察研究所保留阻止您参加项目的权利，或者将您从参与人员中剔除，而由此所产生的费用由您自己承担。If you develop any medical conditions after you send in your form, please contact Earthwatch immediately. If you fail to notify us of a change of condition, Earthwatch reserves the right to prevent your participation or to remove you from an expedition at your own expense. 在填写这份表格的时候，请确保信息完整、准确。您提供的信息不但能够确保您能适应所参与的科考活动，同时也能帮助我们应对在活动中您可能出现的一些紧急医疗情况。我们将会同您合作，确保在可能的情况下，您所有的需求都得到满足。但是如果某项重大的健康问题使得您不能够安全地参与到项目中来，而您又没有向我们通报这一问题的话，那么我们保留将您从科考团剔除的权利。Please be complete and accurate in filling out this form. The information you provide will not only ensure that you are matched