Get Bcal 3704 Form

The Bcal 3704 Form is essential for individuals seeking medical clearance for adult foster care and child care settings. This guide provides a step-by-step approach to help users complete the form accurately and efficiently online.

Follow the steps to fill out the Bcal 3704 Form online

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the applicant or licensee information, including facility or home name, license number, and address details. Ensure all fields are completed accurately.
3. Provide the license application type by selecting from the options: adult foster care, child foster care, or child care. Indicate the capacity as required.
4. Fill out the patient information section by providing the patient's full name, date of birth, address, social security number, and contact number.
5. In the release of information section, the patient must authorize the release of their medical information by signing and dating the form.
6. The physician must complete the medical information section, including details about tuberculosis testing, general physical and mental condition, and any necessary explanations in the comments section.
7. Include the physician's signature, date, and address in the designated areas to validate the information provided.
8. Review all fields to ensure accuracy, then save your changes, download the completed form, and print or share it as needed.

Complete your Bcal 3704 Form online today to ensure quick processing of your medical clearance request.