Get Dhr-cdc-739 2006-2025
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How to fill out the DHR-CDC-739 online
Completing the DHR-CDC-739, also known as the child's preadmission record, is an essential step for parents or guardians enrolling their child in a childcare facility. This guide will provide you with clear, step-by-step instructions for filling out this form online efficiently and accurately.
Follow the steps to complete the DHR-CDC-739 online.
- Press the ‘Get Form’ button to obtain the form and access it in your online editor.
- Begin by entering the child's name as it appears on their identification documents and the name they are known by. Add the child's birthdate and their home address.
- Provide the names of the parent(s) or guardian(s) and their home telephone number. Also, fill in the address of the parent(s)/guardian(s).
- Include the information regarding the mother's and father's employers, which includes their employer's names, addresses, and telephone numbers. Be sure to include any alternate contact numbers, such as cell phones or beepers.
- Input specific instructions on how the parent or guardian can be reached in case of an emergency. Additionally, list emergency contacts who can be reached if the parent(s) or guardian(s) are unavailable, including their names, relationship to the child, addresses, and telephone numbers.
- Specify the child's doctor’s name, address, and telephone number to ensure quick access in case of medical needs.
- Review the Emergency Authorization statement. If agreed, provide your signature and the date. The form becomes invalid without this signature.
- Complete the section regarding the child's special needs or any specific instructions that should be noted.
- List individuals who are authorized to pick up the child, including their names, relationships to the child, addresses, and telephone numbers.
- Read the section regarding activities outside the facility, including details about transportation and swimming. Circle ‘yes’ or ‘no’ and sign each line accordingly with the date.
- Finally, fill out the child's first day of attendance and withdrawal date, if applicable. Make sure all signatures are included as indicated.
- After completing the form, review all entries for accuracy. You can then save changes, download, print, or share the form as necessary.
Complete the DHR-CDC-739 online today to ensure your child's smooth entry into the childcare facility.
DHR in Alabama is overseen by a commissioner appointed by the governor, along with a board that helps guide its policies and practices. This structure ensures that the agency remains accountable for its services. Staying informed about leadership changes can aid you in understanding how policies may evolve. For more insights, DHR-CDC-739 can provide updates and resources pertinent to your inquiry.
Fill DHR-CDC-739
Emergency Authorization: I give permission for the childcare facility to obtain emergency medical treatment, including emergency. DHR-CDC-739. CHILD' S PREADMISSION RECORD. DHR-CDC-739. CHILD'S PREADMISSION RECORD. Child's preadmission record. DHR-CDC-739. The DHR-CDC-739 form, also known as the Child's Preadmission Record, is a crucial document required for a child's admission into a childcare facility. You may print the packet from this link or pick it up at the Foundations office. DHR-CDC-739. CHILD'S PREADMISSION RECORD. DHR-CDC-739. Page 79. No information is available for this page.
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