Get District Of Columbia Child Health Certificate - Dc Courts

The District of Columbia Child Health Certificate is a vital document for ensuring that children receive proper health evaluations before attending school or daycare. This guide provides a clear, step-by-step walkthrough for users to complete the Child Health Certificate efficiently and accurately online.

Follow the steps to fill out the Child Health Certificate online

1. Click the ‘Get Form’ button to access the District of Columbia Child Health Certificate and open it in your preferred editing program.
2. Begin by filling out Part 1, which requires the child’s personal information. Clearly enter the child's last name, first name, middle name, and date of birth. Include the parent's or guardian's name, contact numbers (home and cell), and the home address.
3. Specify the child’s gender and race/ethnicity by checking the appropriate boxes. Complete the section for emergency contacts and indicate the school or childcare facility the child will attend.
4. In Part 2, labeled Child’s Health History, Examination & Recommendations, the healthcare provider must enter the date of the health exam, document any health concerns, and provide details about the child's health metrics such as weight, height, and blood pressure, if applicable.
5. In Part 3, Immunization Information, complete all required immunization fields or attach an equivalent document that includes the healthcare provider's signature and date.
6. Part 4 requires a tuberculosis and lead exposure risk assessment; the healthcare provider must mark the appropriate responses based on tests performed and indicate any necessary follow-up.
7. Part 5 entails the required provider certification and signature, where the healthcare provider certifies the child's health screenings have been completed.
8. Finally, in Part 6, obtain the necessary parental or guardian signatures to authorize the sharing of health information. Ensure this part is printed, signed, and dated.
9. Once all sections are completed, users can save changes, download the document, print it, or share it as needed.

Complete the District Of Columbia Child Health Certificate online to ensure a smooth enrollment for your child.