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OF WISCONSIN Page 2 of 2 2. Triggers that may cause problems Specify. 3. Signs or symptoms to watch for Specify. 4. Steps the child care provider should follow. If prescription or non-prescription medications are necessary, a copy of the form Authorization to Administer Medication should be attached to this form. Note: group child care centers and day camps may use their own form. 5. Identify any child care staff to whom you have given specialized training / instructions to help.

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How to fill out the Dcf Health History Form online

Completing the Dcf Health History Form online is a crucial step in ensuring your child's well-being in care settings. This guide provides detailed instructions to help you navigate the form efficiently and accurately.

Follow the steps to complete the Dcf Health History Form online.

  1. Click ‘Get Form’ button to obtain the form and open it for filling out.
  2. Enter the child’s information in the designated fields. This includes the name, home address, telephone number, and birthdate.
  3. Provide parent or guardian information. Fill in the name and the date of the child’s first day of attendance. You must also include contact numbers for home and work for each parent or guardian.
  4. Input the physician or medical facility details. This includes the physician's name, telephone number, and the address of the medical facility.
  5. Fill out the sunscreen and insect repellent authorization. Indicate if you authorize the center to apply these to your child and if they may self-apply. Specify the brand names and strengths.
  6. Detail the health history and emergency care plan. Check any special medical conditions your child may have and specify food allergies, non-food allergies, and triggers that may cause issues.
  7. List the signs or symptoms to watch for and specify the steps to follow for any treatment or medication required.
  8. Identify any child care staff who have received specialized training to help treat symptoms and any additional information that may be important for the child care provider.
  9. Finally, review your entries for completeness and accuracy. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Complete your Dcf Health History Form online today to ensure your child's safety and health in care!

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Child Care Rates Infant/Young Toddler ( 6 weeks – 24 months) Full-time (30 to 40 hours of care)$241.00 per weekChildren 6-13 years of age Full-time care (30-40 hours of care)$180.00 per weekChildren 6-13 years of age Part-time care (2 days a week, 4 hours per day)$140.00 per week6 more rows

To become eligible, your family's monthly gross income must not be more than 185% of the Federal Poverty Level (FPL) (Wisconsin Shares Co-Payment Schedule ). After you have been determined eligible, you can remain financially eligible until your income reaches 85% of the state median income.

Applying Online Use the State's online application tool, ACCESS, to apply for Wisconsin Shares Child Care assistance. ACCESS is easy to use, and it does not take long to apply online. By using ACCESS, you can also apply for FoodShare, HealthCare, and Family Planning.

To apply or learn more about free or low cost daycare, call or stop by your county, W-2 agency, or tribal agency. Appointments are required, so you will need to call to establish one. Or the Wisconsin Department of Children and Families can be reached at 608-422-7000 or 608-267-3905.

Child Care Bridge Fund Family SizeMONTHLY IncomeANNUAL Income2$3,040 to 4,930$36,480 to 59,1603$3,833 to 6,215$45,996 to 74,5804$4,625 to 7,500$55,500 to 90,0005$5,417 to 8,785$65,004 to 105,4205 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232