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OCFSLDSS4433 (Rev. 06/2019)NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES CHILD IN CARE MEDICAL STATEMENT To Be Completed By Licensed Physician, Physician Assistant or Nurse Practitioner Name

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How to fill out parental agreement for emergency

01

Begin by gathering all necessary information such as names, addresses, and contact information for both parents.

02

Include a section for emergency contacts other than the parents, such as close family members or neighbors.

03

Detail any medical information or allergies that emergency responders should be aware of.

04

Include a section for any specific instructions or preferences for the care of the child during an emergency.

05

Have both parents review and sign the agreement, and make copies to keep in easily accessible locations.

Who needs parental agreement for emergency?

01

Any parent or guardian who wants to ensure that their child is properly cared for in case of an emergency.

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What is parental agreement for emergency?

Parental agreement for emergency is a legal document detailing parental responsibilities in case of emergencies involving the child.

Who is required to file parental agreement for emergency?

Both parents or legal guardians of the child are required to file parental agreement for emergency.

How to fill out parental agreement for emergency?

Parents must provide their contact information, child's information, emergency contacts, medical information, and authorization for emergency medical treatment.

What is the purpose of parental agreement for emergency?

The purpose of parental agreement for emergency is to ensure that necessary actions can be taken promptly in case of emergencies involving the child.

What information must be reported on parental agreement for emergency?

Information such as parents' contact details, child's information, emergency contacts, medical information, and authorization for emergency medical treatment must be reported.

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