Get Dhrcdc739 Revised 1/01 Childs Preadmission Record This Section Is To Be Completed By The Childs

Completing the DHRCDC739 Revised 1/01 Child's Preadmission Record is essential for the enrollment of your child in childcare facilities. This document gathers crucial information regarding your child's needs and emergency contacts, ensuring their safety and support.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the Child's Preadmission Record. This action will allow you to open the form in your online editor.
2. Begin filling out the child’s name as well as the name they are known by. This personal identification is crucial for accurate records.
3. Enter the child's birthdate and home address. This information is necessary for official documentation and communication.
4. Provide the names of the child’s parent(s) or guardian(s), including their home phone numbers and addresses. This ensures that the childcare facility can contact the correct individuals.
5. Include the mother’s and father’s employer details, along with their addresses and phone numbers. This information helps in reaching the parents during emergencies.
6. List additional phone numbers, such as cellular phones, for better accessibility in emergencies.
7. Write specific instructions on how parents or guardians may be reached in case of an emergency.
8. Identify person(s) to contact in an emergency if the parent(s) or guardian(s) cannot be reached. Include their names and relationships to the child.
9. Document the name, address, and telephone number of the child’s doctor, which is necessary for medical emergencies.
10. Fill out the emergency authorization details, including a signature and date to grant permission for emergency medical treatment.
11. Describe any special needs or specific instructions for the child below the emergency authorization section.
12. Specify the people to whom the child may be released, including their names, relationships, addresses, and telephone numbers.
13. Review the consent for various activities, sign, and date each line as needed.
14. Final review: Ensure all fields are completed accurately. Save your changes, download or print the completed form, or share it as needed.

Complete your form online to ensure a smooth enrollment process for your child.