Get Cso-1269a Physicians Statement Physicians Statement - Casadelosninos

The CSO-1269A Physicians Statement is an essential document for evaluating a person's capability to care for a foster or adoptive child. This guide provides clear and supportive instructions for completing this form online, ensuring that users can effectively navigate each section with confidence.

Follow the steps to fill out the CSO-1269A form online.

1. Click ‘Get Form’ button to obtain the CSO-1269A Physicians Statement in an accessible format for your needs.
2. Begin by entering the patient’s full name, including last name, first name, and middle initial in the designated field.
3. Indicate the length of time you have been providing care for the patient, ensuring accurate reflection of your professional relationship.
4. Assess and record the patient’s current general physical health status, providing any necessary details as applicable.
5. Evaluate and note the patient’s current general emotional health status, ensuring to include anything known that may affect their capabilities.
6. List any prescribed medications the patient is currently taking, providing clarity on potential impacts on their caregiving abilities.
7. Document the name of the prescribing physician for the medications listed, thereby ensuring proper medical oversight.
8. Answer whether any over-the-counter or prescription medications regularly used by the patient could interfere with safe child care. If yes, provide a detailed explanation.
9. Determine if the patient has any medical, emotional, or other conditions that may affect their ability to care for children. If so, explain and provide recommendations to minimize risks.
10. Confirm whether the patient is free of communicable diseases, selecting yes or no as appropriate.
11. Print the physician’s name clearly as it should appear on the form, along with the physician’s license number.
12. Complete the address section with accurate details (number, street, city, state, and ZIP code) for the physician.
13. Affix the physician’s signature and the date of signing the form, ensuring all information is accurate and truthful.
14. Once all sections are filled, you can save changes, download a copy of the form, print it for physical submission, or share it as required by the agency specified.

Complete the CSO-1269A Physicians Statement online today to ensure the best care for foster and adoptive children.