Get Reset South Carolina Department Of Social Services Child Care Regulatory Services General Record

This guide provides clear and supportive instructions for users filling out the Reset South Carolina Department Of Social Services Child Care Regulatory Services General Record online. By following these steps, you can ensure that all necessary information is accurately provided for your child's enrollment in a child care facility.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Begin with the section labeled 'General Information.' Fill in the name of the facility and select the corresponding county. Next, provide the facility's address including city, state, and zip code.
3. Enter the child's name in the designated fields: last name, first name, and middle initial. Then, include the child's date of birth and, if applicable, their nickname.
4. Indicate the enrollment date for the child and provide the child's current home address with the street address, city, state, and zip.
5. Provide the full name of the parent or guardian. Include their home, work, and any additional phone numbers.
6. List two individuals authorized to obtain emergency medical treatment for the child by including their full names, relationships to the child, addresses, and phone numbers.
7. Indicate if the child is currently enrolled in school. If yes, specify the attendance schedule including times of care, if the child is a drop-in, and the days of the week the child will attend.
8. In the health information section, record the family physician’s name, address, and telephone number. Include emergency care provider details, as well as dental and health insurance provider information.
9. Answer the question regarding the child's certificate of immunization and provide explanations for any responses where appropriate.
10. List any health conditions or medications the child regularly takes, along with any additional comments related to their health.
11. The parent or guardian must certify the child's health by signing and dating the certification statement. In addition, the director or staff designee will also sign and date.
12. Finally, review all entered information for completeness and accuracy. You can save changes, download, print, or share the completed form as needed.

Complete the necessary documents online today for a smooth enrollment process.