Get Child Medical Statement - Ohio Department Of Education

Filling out the Child Medical Statement is an essential step in ensuring that children are healthy and ready for group care. This guide will provide clear, step-by-step instructions on how to complete this form online accurately and efficiently.

Follow the steps to fill out the Child Medical Statement with ease.

1. Click ‘Get Form’ button to access the document and open it in your online editor.
2. In Section I, enter the child's name and date of birth to identify the individual for whom the form is being completed. It is important to ensure accuracy in this section.
3. Next, fill in the child's height and weight. This information helps in assessing the overall health status of the child.
4. You will then need to provide details about the child's immunizations. Indicate whether the child is exempt from immunization and specify the exemption type (complete for age, religious conviction, in process, health, or other).
5. In addition, list any limitations or health conditions of the child, including allergies, medications, and dietary restrictions, to ensure their needs are understood in a group care setting.
6. Move to Section II, where you will provide the physician, clinic, or hospital name. Ensure you enter the provider's phone number, address, city, state, and zip code correctly for follow-up if needed.
7. Select the checkbox corresponding to the examining medical professional (physician, physician's assistant, or advanced practice nurse) who has conducted the medical examination.
8. Indicate that the child has been examined and is suitable for participation in group care. The medical professional must then sign and date the document to validate the examination.
9. Once all sections are completed, review the form for accuracy, then save the changes. You may also download, print, or share the completed Child Medical Statement as needed.

Complete your Child Medical Statement online today to ensure your child's health needs are met.