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Reset Form RESOURCE FAMILY HOME PHYSICAL ENVIRONMENT CHECKLIST State Form 53186 (R3 / 811) DEPARTMENT OF CHILD SERVICES INSTRUCTIONS: The licensing worker or Family Case Manager will complete this
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How to fill out resource family home physical

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To fill out the resource family home physical, follow these steps:

01
Obtain the resource family home physical form from the relevant authority or agency. This form is typically provided to individuals or families who are interested in becoming resource parents, foster parents, or adoptive parents.
02
Carefully read and understand all the instructions provided with the form. This will ensure that you gather all the necessary information and complete the form accurately.
03
Provide your personal information in the designated sections of the form. This may include your name, address, contact details, date of birth, and other relevant information.
04
Answer all the questions regarding your medical history honestly. This may include providing information about any pre-existing medical conditions, allergies, surgeries, or ongoing treatments. Be thorough and accurate in your responses to ensure the safety and well-being of the children who may be placed in your care.
05
If applicable, include information about any medications you are currently taking. Include the name, dosage, and frequency of each medication. It is important to disclose this information to ensure proper understanding of any potential health implications.
06
Provide details about your lifestyle and habits that may impact the care of the children. This may include information about smoking, alcohol or drug use, or any other factors that could have an impact on the children's well-being. Be honest in your responses and provide any necessary explanations or additional information as requested.
07
If required, attach any supporting documentation that is requested by the form. This may include medical records, vaccination records, or any other relevant documents that can help validate the information provided.
08
Review the completed form thoroughly before submitting it. Make sure all the information is accurate, legible, and complete. Double-check for any errors or omissions that may need to be corrected.

Who needs resource family home physical?

The resource family home physical is typically required for individuals or families who are interested in becoming resource parents, foster parents, or adoptive parents. This process helps ensure that the prospective caregivers are physically fit and able to provide a safe and nurturing environment for the children in their care. The physical examination helps identify any potential health issues that may affect the caregiver's ability to meet the needs of the children. Additionally, it helps assess the overall suitability and readiness of the individuals or families to take on the responsibilities of caring for vulnerable children.
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Resource family home physical is a report that details the physical conditions of a home where a resource family resides, as required by child welfare agencies.
Resource family members or caregivers who are certified to provide care for children in the foster care system are required to file resource family home physical.
Resource family home physical can be filled out by providing accurate and detailed information about the physical conditions of the home, as well as any safety measures in place.
The purpose of resource family home physical is to ensure that the living environment of children in foster care is safe, healthy, and suitable for their well-being.
Information such as the condition of the home, safety measures in place, presence of hazards, availability of utilities, and additional accommodations for children must be reported on resource family home physical.
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