true north treks
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    Caregiver Medical 
    History Form

    Caregivers may complete the following medical information about themselves to alert TNT staff of any previous medical history. It is not necessary to have a medical provider complete and send these forms on your behalf unless we have any questions or concerns.

    **THIS FORM MAY BE COMPLETED AND SUBMITTED ELECTRONICALLY USING THE ONLINE FORM BELOW (OUR SERVER USES A 128-BIT ENCRYPTED SSL CONNECTION) OR THIS PAGE MAY BE PRINTED AND SCANNED/EMAILED TO THE ATTENTION OF: GWEN VICTORSON (GWENVICTORSON@TRUENORTHTREKS.ORG).**  

    General Medical History

    If yes to any of these, please describe. For example, is the problem or issue well controlled on medications? Are there any potential triggers or complications? Here there ever been any hospitalizations related to the problem or issue? 

    Allergies & Medications

    Most Recent Physical Exam

    Please provide any information that you can for the following areas. If any is impaired or abnormal, please describe:
Submit
GET BACK ON TRACK!                             
TRUE NORTH TREKS is a national 501(c)3 nonprofit organization 
whose mission is to empower young adults and caregivers affected by cancer to reclaim the lives that cancer took through "finding direction through connection." We help the people we serve get connected to powerful and unique skills, tools, experiences, and resources that can enable them to live healthier, happier and more meaningful lives. We recognize that people of all walks of life are impacted by cancer and therefore we focus on providing programming and connection opportunities for patients, survivors, their families and cancer care professionals. In addition to supporting individuals after cancer diagnosis and treatment, cancer prevention and healthy lifestyle promotion are central to our mission and focus. We also provide cancer prevention education, wellness promotion, and positive health behavior skill acquisition programming to both the general public and those at increased cancer risk.
FIND YOUR TRUE NORTH!
One of the primary ways we  fulfill our mission is by taking groups of young adult cancer survivors and caregivers on free backpacking and canoeing treks in beautiful wilderness destinations where they can connect with nature (after going through something as unnatural as cancer treatment), connect with peers who have been through something similar, and connect with themselves through training and practice in mindfulness meditation and yoga. Our programming includes immersive excursions in wilderness settings, residential retreat experiences, training in mindfulness meditation, yoga and other contemplative and reflective practices, and the provision of resources, training, outreach, advocacy, and support in both outdoor and indoor settings. ​
Skills Training  ​
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Advocacy
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Resources
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Support
Contact us at: info@truenorthtreks.org
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