WebForm 7239 May 2024-E. Incident or Illness Report. Operations use this form to record all required information when a child sustains an injury, at the onset of an illness or … WebDescription. This listing includes a digital printable download: A "Child Illness Report" is a form to be given to a parent when a child develops symptoms or becomes sick while at …
Licensing Forms Division of Early Childhood
WebChild Care Health Program Allergy Plan Packet Revised 10.2024 Page 1 of 7 _____ Name of Child _____ Child’s Date of Birth The above child attends our child care program and we have been ‘informed’ that they are allergic or intolerant to the following items: 1. 4. 2. 5. 3. 6. As a licensed child care program, we are required to meet state ... WebChild Care Health Program 10.2024 Hand Sanitizer Authorization Form Child’s Name: Date of Birth & Age: (*Children must be at least 2 years of age to use hand sanitizer) Name of Hand Sanitizer: Active ingredient: *Must contain at least 60% alcohol Start Date: ____/____/____ factory access management system rootlnka.net
Forms & Documents Washington State Department of Children
WebImmunization forms Immunization forms Colorado certificate of immunization for schools and child cares Approved Certificates of Immunization or Official School Documents from other states Approved Alternate Certificate of Immunization Fact Sheet Certificate of Immunization for college/university students WebChild has a 3-day emergency supply of medication at center/school: ☐Yes (complete and attach 3-Day Critical Medication Form) ☐N/A DATE TIME STARTING AMOUNT/ QUANTITY AMOUNT/ QUANTITY GIVEN Staff 1 Initials (person giving medication) Staff 2 Initials (person witnessing medication given) Webform in care plan packet) Need new prescription/ container of medicine after: authorization form signed by health care provider after: Need new care plan reviewed and signed by health care provider after: Benjamin Bunny C Benadryl 3/31/2024 6/30/2024 Y 6/30/2024 Benjamin Bunny C EpiPen Jr. 2/28/2024 6/30/2024 Y 6/30/2024 factory accidents fatal