Get Mo 580-1879 2014-2026

Filling out the MO 580-1879 form is essential for those who will have contact with children in a child care setting. This guide will help you understand each section of the form and ensure that you complete it accurately and thoroughly.

Follow the steps to fill out the MO 580-1879 form online.

1. Press the ‘Get Form’ button to access the MO 580-1879 form and open it for editing.
2. Begin by filling out the identifying information section. Provide your full name, birthdate, address, telephone number, and the name and address of the child care facility where you are employed.
3. In the medical report section, make sure to have the physical examination completed by a licensed physician or advance practice nurse. This includes the TB clearance and any limitations or restrictions regarding your ability to care for children.
4. The physician or nurse will certify that you are in good physical and emotional health and free of contagious diseases. Make sure they fill in the applicable boxes and provide the date of examination.
5. If there are any physical or mental conditions that could endanger the health of children or prevent you from providing adequate care, these must be documented in the provided space.
6. Gather the signatures. The supervising physician or registered nurse must sign the form, and include their name, address of the clinic, and telephone number.
7. Once all sections are completed, you can save the changes, download, print, or share the completed MO 580-1879 form as needed.

Complete your documentation online today to ensure compliance and safety in your child care practice.