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Return to Nurse\'s Office
FOR USE IN CFS LICENSED CHILD CARE FACILITIES
CFS 600
Rev 12/2011State of Illinois
Certificate of Child Health Examination
Students Rebirth DateLastFirstAddressMiddleStreetCitySexRace/EthnicitySchool
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How to fill out return to nurses office

How to fill out return to nurses office
01
To fill out a return to the nurse's office form, follow these steps:
02
Obtain the form from the school or healthcare provider.
03
Fill in your personal information, including your name, address, phone number, and date of birth.
04
Provide details about the reason for your visit to the nurse's office, such as your symptoms, any medications you are taking, and any previous treatments received.
05
Make sure to include the date and time you would like to return to the nurse's office, if applicable.
06
If necessary, have a parent or guardian sign the form to give consent for treatment.
07
Review the completed form for accuracy and legibility.
08
Submit the form to the nurse's office or return it to the designated location as instructed.
09
Keep a copy of the form for your records.
Who needs return to nurses office?
01
Anyone who requires medical attention or assistance while at school or in a healthcare facility may need to fill out a return to the nurse's office form. This can include students, faculty or staff members, and visitors who become ill, sustain an injury, or experience any other health-related issues that necessitate further monitoring, treatment, or follow-up care.
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What is return to nurses office?
Return to nurses office is a form that must be completed by individuals who have visited the nurse's office and are returning to class.
Who is required to file return to nurses office?
Any student or staff member who has visited the nurse's office must file a return to nurses office form before returning to class.
How to fill out return to nurses office?
The form can be filled out by providing basic information such as name, date of visit to the nurse's office, reason for visit, any medication taken, and clearance from the nurse to return to class.
What is the purpose of return to nurses office?
The purpose of the return to nurses office form is to ensure that individuals who have visited the nurse's office are medically cleared to return to class and to keep a record of their visit.
What information must be reported on return to nurses office?
The form must include the individual's name, date of visit to the nurse's office, reason for visit, any medication taken, and clearance from the nurse to return to class.
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