Get the free LIC 701 - Physicians Report - Child Care Centers - dss cahwnet

This document serves as a notice of form change and provides details about the Physician's Report required for Child Care Centers, including sections for parent consent and physician's report.

How to fill out lic 701 - physicians

How to fill out LIC 701 - Physicians Report - Child Care Centers

1. Obtain a blank LIC 701 form from the appropriate licensing authority or download it from their website.
2. Fill out the child's basic information at the top of the form, including their full name, date of birth, and parent or guardian's contact information.
3. Provide detailed medical history of the child, including any chronic conditions, allergies, and previous illnesses.
4. Include the child's immunization records, ensuring all vaccinations are up to date as required by local regulations.
5. Have the child's physician complete the health assessment section that evaluates the child's physical and developmental health.
6. Ensure the physician signs and dates the form to validate the information provided.
7. Review the completed form for accuracy and completeness before submission.
8. Submit the LIC 701 form to the child care center as part of the enrollment process.

Who needs LIC 701 - Physicians Report - Child Care Centers?

1. LIC 701 - Physicians Report - Child Care Centers is needed by any parent or guardian enrolling their child in a licensed child care center.
2. It is also required for child care providers to ensure compliance with health regulations and to assess the child's suitability for the program.

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What is LIC 701 - Physicians Report - Child Care Centers?

LIC 701 - Physicians Report - Child Care Centers is a form used in California to document the health and physical condition of children enrolled in child care centers, ensuring they are fit to attend and receive care.

Who is required to file LIC 701 - Physicians Report - Child Care Centers?

The child's parent or guardian is required to file LIC 701 for each child enrolled in a licensed child care center, indicating that the child has undergone a health examination.

How to fill out LIC 701 - Physicians Report - Child Care Centers?

To fill out LIC 701, a licensed physician or medical provider must complete the form, including the child's medical history, vaccination status, and any pertinent health issues. The provider must sign and date the form.

What is the purpose of LIC 701 - Physicians Report - Child Care Centers?

The purpose of LIC 701 is to ensure that children enrolled in child care centers are healthy and to identify any medical conditions that may require special attention while in care.

What information must be reported on LIC 701 - Physicians Report - Child Care Centers?

The information that must be reported includes the child's name and birth date, the date of the health examination, vaccination history, any medical conditions or allergies, and a provider's assessment of the child's health.