Get Dss Form 2900 Spa (jul 10).qxd - Dss Sc

Filling out the DSS Form 2900 SPA (JUL 10) is essential to provide necessary health and authorization information for a child's enrollment in a childcare facility. This guide will walk you through the steps to complete the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by entering the general information. In this section, you will provide the name of the childcare center, county, and address, including city, state, and ZIP code. Ensure to fill in the street address — post office box addresses are not accepted.
3. Next, input the child's information. Fill in their first name, last name, date of birth, initial of the second name, and nickname, if applicable.
4. Indicate the enrollment date for the child, along with their current address. Include the street number and ensure the city, state, and ZIP code are provided.
5. Enter the complete names and phone numbers of the parent or guardian. Remember to include home, work, and alternate phone numbers for contact purposes.
6. Designate two authorized individuals who can obtain emergency medical treatment for the child. Provide their full names, relationships to the child, addresses, and phone numbers.
7. Answer whether the child currently attends school and provide the times they will attend the childcare center. Specify regular hours and mark the days they will attend.
8. Specify the meals the child will receive, including breakfast, snacks, lunch, and dinner options. If no meals are provided, make that selection.
9. Fill out the health information section with the family doctor's name, address, and phone number, along with the emergency medical provider's details.
10. Complete details for the dental provider and insurance provider, if applicable. Confirm whether the child's immunization certificate is available.
11. Disclose any medical conditions the child has, such as allergies, and any medications taken regularly. Provide any additional comments that may assist the childcare facility.
12. Certify that the child's health status is confirmed by signing the document at the bottom. The form requires signatures from both the parent or guardian and the childcare director or designated employee.
13. Finally, save the changes made to the form. You have the option to download, print, or share the completed form as needed.

Complete your DSS Form 2900 SPA online today for efficient processing!