Get Lic 627

The Lic 627 form is an important document used by individuals to request essential health services for children. This guide provides clear instructions on how to accurately fill out this form online.

Follow the steps to complete the Lic 627 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your selected editor.
2. Begin by entering the name of the individual requesting services in the designated field. Ensure the name is spelled correctly for proper identification.
3. Next, provide the relevant details of the child in need of assistance, including their name, date of birth, and any medical conditions they may have.
4. In the allergies section, list any known allergies the child has. This is crucial for ensuring their safety and proper healthcare.
5. Fill out the contact information for the parent or guardian, including address, home telephone number, and a cell phone number if applicable.
6. Review all the information you have entered for accuracy. Make sure all fields are complete and correct.
7. Once you have confirmed that all details are accurate, you can save your changes, download the form, print it, or share it as needed.

Complete the Lic 627 form online today to ensure your child's health needs are addressed promptly.