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OCFSLDSS4433 (Rev. 5/2014) FRONTNEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICESCHILD IN CARE MEDICAL STATEMENT To Be Completed By Licensed Physician, Physicians Assistant or Nurse Practitioner
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How to fill out child in care medical

01
Obtain the child in care medical form from the relevant authorities or healthcare provider.
02
Fill out the child's personal information including name, date of birth, and address.
03
Provide details of the child's medical history, any current medications or allergies.
04
Include information on the child's primary care physician or healthcare provider.
05
Sign and date the form to certify that the information provided is accurate.

Who needs child in care medical?

01
Children who are in the care of a foster family, group home, or other child welfare agency may need to have a child in care medical form filled out.
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Child in care medical refers to the health assessments and documentation required for children who are placed in foster care or other forms of state care to ensure their health and well-being.
Foster parents, social workers, and healthcare providers involved in the care and management of the child are required to file child in care medical documentation.
To fill out child in care medical, gather the necessary health information and documents, complete the required forms accurately, ensuring all relevant details such as medical history, vaccinations, and current health status are included, and submit them to the appropriate authority.
The purpose of child in care medical is to monitor and ensure the health and well-being of children in care, provide necessary medical services, and comply with legal and regulatory requirements.
The information that must be reported includes medical history, immunizations, any existing health issues, medications, and the results of medical examinations.
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