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  • PHYSICIAN’S REPORT—CHILD CARE CENTERS
    Please provide a report on above-named child using the form below I hereby authorize release of medical information contained in this report to the above-named Child Care Center
  • PHYSICIANS REPORT—CHILD CARE CENTERS (CHILDS PRE-ADMISSION HEALTH . . .
    PHYSICIAN'S REPORT—CHILD CARE CENTERS (CHILD'S PRE-ADMISSION HEALTH EVALUATION) to PART A — PARENT'S CONSENT (TO BE COWLETED BY PARENT' is to This a a a —d cHld ng I of in this to PART B - S REPORT (TO BE COWLETED BY IMMUNIZATION HISTORY: POLIO (opv OR Re (Fill out or enclose California Immunization Record, PM-298 )
  • California Child Care Centers Physician Report
    This document is the Physician's Report for Child Care Centers in California It includes sections for parents to consent and for physicians to report a child's health details
  • Form LIC 701. Physicians Report - Child Care Centers
    It gathers comprehensive medical information about children attending child care centers, ensuring their health and well-being Accuracy and completeness are crucial when filling out this form, and attaching relevant supporting documents is necessary
  • capousd. org
    STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY PHYSICIAN'S REPORT—CHILD CARE CENTERS (CHILD'S PRE-ADMISSION HEALTH EVALUATION) PART A - PARENT'S CONSENT (TO BE COMPLETED BY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING is being studied for readiness to enter (NAME OF CHILD) (NAME OF CHILD CARE CENTER SCHOOL) born
  • PHYSICIAN’S REPORT—CHILD CARE CENTERS - California State University . . .
    Please provide a report on above-named child using the form below I hereby authorize release of medical information contained in this report to the above-named Child Care Center
  • Physicians Report - Child Care Centers California: LIC 701 form
    This Child Care Center Physician's Report is designed for both parents and health care professionals to provide important health information for children being enrolled in a child care facility center in California
  • Monitoring and Inspections - Childcare. gov
    Learn about monitoring and inspection requirements for licensed child care and how you can view monitoring and inspection reports for licensed programs in your area




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