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  • Child39 S Preadmission Record

Get Child39 S Preadmission Record

DHRCDC739 Revised 1/01 CHILD ' S PREADMISSION RECORD This section is to be completed by the child 's parent or guardian. This form must be kept in the child 's file in the Child Care Facility (home/center).

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How to fill out the child's preadmission record online

Completing the child's preadmission record is an essential step in ensuring that your child is adequately prepared for their time at a child care facility. This guide provides clear, step-by-step instructions on filling out this important form online to ensure accuracy and efficiency.

Follow the steps to complete the child's preadmission record effectively.

  1. Press the ‘Get Form’ button to access the preadmission record and open it in the editing interface.
  2. Begin by entering your child's full name and the name they are commonly known by. This section ensures that all staff can address your child correctly.
  3. Input your child's birthdate to provide essential demographic information.
  4. Fill in your child's home address accurately, as this is important for correspondence and emergency situations.
  5. List the names of the parent(s) or guardian(s). This section highlights who is responsible for the child.
  6. Provide a home telephone number where you can be reached for quick communication.
  7. Enter the address and telephone number of the parent(s) or guardian(s) if it differs from the child's home address.
  8. Include the employer's details for both mother and father, including name, address, and contact numbers.
  9. Outline how you may be reached in an emergency, providing detailed instructions for caregivers.
  10. List the names and relationships of individuals who can be contacted in case of an emergency, along with their contact details.
  11. Enter the name, address, and telephone number of your child's doctor for easy reference during medical situations.
  12. Read and sign the emergency authorization statement, which allows the facility to act in case of a medical emergency if you cannot be reached.
  13. In the special needs section, describe any specific instructions or requirements your child may have.
  14. List the names and relationships of individuals who are authorized to pick up your child from the facility.
  15. Familiarize yourself with the activities away from the facility and sign where indicated to provide consent.
  16. Ensure all necessary signatures are provided where required to validate the document before submission.
  17. Review the completed form for accuracy, save any changes you’ve made, and download or print the form for your records.

Complete your child's preadmission record online today to ensure a smooth start at their child care facility.

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