Get Child Development Form

Completing the Child Development Form online is a crucial step to ensure your child’s health assessments are up-to-date. This guide will provide you with clear instructions to help you navigate each section of the form efficiently.

Follow the steps to complete the Child Development Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Part A, provide the child's name, date of birth, and the sponsor's name. Be sure to fill in the information using the format Last, First, MI.
3. Indicate the gender of the child by circling either 'Male' or 'Female'.
4. List any relevant health history and medical information that could affect routine care or emergencies.
5. If applicable, specify any allergies the child may have. If there are none, check the box indicating 'None'.
6. Indicate if the child is covered by TRICARE for health emergencies by selecting 'Yes' or 'No'.
7. If the child has health and accident insurance other than TRICARE, indicate 'Yes' or 'No' and provide the insurance carrier and policy/group number.
8. Provide permission for authorized personnel at the Child Development Center to access your child's health assessment information necessary for care, and fill in the name of the center.
9. Sign and date the form where indicated to confirm the information provided is accurate.
10. In Part B, if applicable, the child's health care provider will need to describe any health problems or special needs along with recommended treatment, medications, or special care.
11. The health care provider must complete their statement, providing their name, signature, address, phone number, and the date the form is signed.
12. After all sections are filled out, save any changes made, and you can proceed to download, print, or share the completed form as required.

Start filling out the Child Development Form online today for a comprehensive health assessment.