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Ohio Department of Job and Family Services CHILD MEDICAL STATEMENT FOR CHILD CARE Child's Name (print or type) Date of Birth This above named child has been examined and is in suitable condition for
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How to fill out child medical statement for

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How to fill out child medical statement for:

01
Start by gathering the necessary information about the child, such as their full name, date of birth, and contact information.
02
Fill in the details of the child's medical history, including any allergies, chronic illnesses, or previous medical conditions.
03
Include information about any medications the child is currently taking or has recently taken.
04
Provide details about the child's immunization history, including the dates and types of vaccines received.
05
Mention any special medical needs or accommodations the child may have, such as the need for medication administration or dietary restrictions.
06
If applicable, include information about any recent medical treatments or surgeries the child has undergone.
07
Consult with the child's healthcare provider to ensure accurate and up-to-date information is included in the statement.

Who needs child medical statement for:

01
Parents or guardians who need to enroll their child in school or daycare often require a child medical statement. This document provides vital information about the child's health and any necessary accommodations.
02
Summer camps or extracurricular programs may request a child medical statement to ensure they can provide appropriate care and support for the child.
03
Sports organizations or teams may require a child medical statement to ensure the safety of the participants and provide appropriate medical attention if necessary.
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It is for documenting a child's medical history and information.
Parents or guardians of the child are required to file the child medical statement.
The form can be filled out by providing the child's medical history, current medications, allergies, and emergency contact information.
The purpose is to ensure that caregivers have access to important medical information about the child in case of emergencies.
Medical history, current medications, allergies, and emergency contact information must be reported.
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