Get Mo Dss Cd-256 2017-2025

Filling out the MO DSS CD-256 form is essential for child care providers to ensure that they meet the necessary health requirements. This guide will help you understand each section of the form and provide clear instructions for completing it online.

Follow the steps to fill out the MO DSS CD-256 form accurately.

1. Click 'Get Form' button to obtain the form and open it in your preferred online editor.
2. Begin by filling in the identifying information section. Enter your name, birthdate, address (including street, city, state, and ZIP code), and telephone number in the corresponding fields.
3. Move to the medical report section, which is to be completed by a licensed physician or advanced practice nurse. They will need to conduct a physical examination of you.
4. The physician or nurse must state the date of the examination and certify your physical and emotional health. They will do this by selecting either 'Yes' or 'No'.
5. If there are any limitations affecting your ability to care for children, the physician or nurse should check 'None' or specify the conditions in the provided space.
6. In the additional remarks section, the physician or nurse can include any extra information pertinent to your health assessment.
7. The form must be signed by the physician or registered nurse under supervision of a physician, along with the date of signature. They should also include their clinic or practice name and address, and their printed name, as well as the supervising physician's name if applicable.
8. Finally, ensure that the telephone number of the physician or nurse is included, then review all entries for accuracy.
9. After completing the form, you can save the changes, download, print, or share the form as needed.

Complete the MO DSS CD-256 form online today to ensure compliance with child care standards.