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Health record Child s physician or clinic Street address OKDHS issued 11-15-2007 07LC038E OCC-38 Page 1 of 2 Does your child have any individual special needs involving routine care behavior and guidance communication or positioning If yes please describe Is your child allergic to any foods medications etc. If yes please describe Describe any special precautions for diet medication or activity if applicable I give permission to the child care staff to consult with health and child development professionals regarding my child s needs. Yes No Transportation I do not give permission for my child to be transported. to nearest medical facility if a medical emergency occurs and I cannot be reached on field trips to and from school Drop-off time Pickup time to and from home Drop-off time other please specify Pick up permission Persons having permission to pick up child I understand this form is supplied by the Oklahoma Department of Human Services OKDHS as a service and that supplying the for....

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How to use or fill out the 07lc046e online

Filling out the 07lc046e form online is essential for providing necessary information about a child's care and needs. This guide will help you navigate each section of the form with clear and supportive instructions.

Follow the steps to complete the 07lc046e form accurately.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Enter the child's name in the designated field to identify the individual for whom you are providing information.
  3. Select the child's sex using the options provided in the form.
  4. Input the child's date of birth to ensure age-specific needs are addressed.
  5. List the names and relationships of individuals with whom the child resides, as this information is crucial for contact purposes.
  6. Fill in your email address, home street address, area code, state, city, home phone number, and zip code to provide accurate contact and location information.
  7. Provide the mother or guardian's place of employment along with the corresponding phone number for emergency contacts.
  8. Similarly, enter the father or guardian's place of employment and their business, cellular, or page phone number.
  9. List emergency contacts, detailing names and phone numbers in order of preference, in case the parent or guardian cannot be reached.
  10. Attach a copy of the child's immunization record or follow exemption procedures as outlined by the Oklahoma State Department of Health.
  11. Complete the health record section by listing your child's physician or clinic, including their street address, phone number, city, state, and zip code.
  12. Indicate if your child has any special needs or allergies and provide descriptions where necessary.
  13. Answer whether you give permission for child care staff to consult with health professionals regarding your child's needs, marking 'yes' or 'no'.
  14. Decide on transportation permissions, specifying your choices for medical emergencies, field trips, school drop-off and pick-up times.
  15. List the names and phone numbers of persons authorized to pick up your child.
  16. Finally, sign and date the form, noting the date the child entered and withdrew from the facility.
  17. Once all fields are filled out correctly, save your changes, download a copy, print it for your records, or share it as required.

Complete your documents online now to ensure timely processing and accurate information.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232