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MEDICALRECORD CONFIDENTIAL ANDMENTAL HYGIENE NEWYORKCIry DEPARTMENT OFHEALTH EUREAU OFDAYCARE REcoRD cHttDREN's MEDICAL Asencv stamP PERIODIC EXAM/FOILOW-UP RECORD (Last) TL ll- g o (First) sEx flF.

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How to fill out the 318ka 1 online

Filling out the 318ka 1 form online can be straightforward with the right guidance. This document is essential for recording periodic examinations and follow-up health assessments for children in day care settings.

Follow the steps to complete the 318ka 1 form online effortlessly.

  1. Press the ‘Get Form’ button to access the form online and open it for editing.
  2. Enter the child's full name in the designated fields labeled 'Last', 'First', and 'Middle'.
  3. Input the child's date of birth and birth weight, as well as the place and state of birth.
  4. Fill out the child's home address, including street, city, borough, state, and zip code.
  5. Indicate the reason for referral to a medical facility or physician by selecting one of the options: periodic examination, health problem, or other (specify).
  6. Complete the section for the name of the daycare director, teacher, or nurse and the date of referral.
  7. Provide any relevant observations from teachers regarding the child's progress or experiences since the last examination.
  8. In the physician's report section, document the pertinent medical history since the last examination, including allergies.
  9. Complete the developmental observation checklist, marking 'Yes' or 'No' as appropriate for the various developmental milestones.
  10. Conduct a physical examination by filling out the final sections completely, including height, weight, and blood pressure.
  11. Review all inputted information for accuracy and completeness before finalizing the form.
  12. After completing the form, you can save changes, download it, print a hard copy, or share it as needed.

Complete your documents online today for a hassle-free process.

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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
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