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CFS 602 Rev. 03/2016 STATE OF ILLINOIS Department of Children and Family Services MEDICAL REPORT ON AN ADULT IN A CHILD CARE FACILITY (Includes employees and volunteers in DCFS licensed child care.

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How to fill out the CFS 602 online

The CFS 602 is a medical report essential for adults working or volunteering in child care facilities in Illinois. This guide will provide you with clear and detailed instructions on how to accurately complete this form online, ensuring compliance with the requirements set by the Department of Children and Family Services.

Follow the steps to complete the CFS 602 online.

  1. Press the ‘Get Form’ button to access the CFS 602 and open it in the online editor.
  2. Fill in the name of the person being examined in the designated field at the top of the form.
  3. Indicate the person's position by checking one of the provided options: Day Care/Group Day Care Home Caregiver, Child Care Staff, Other Staff in a Child Care Facility, or Member of Household.
  4. Enter the name of the licensee, applicant for license, or the licensed facility where the individual is employed or volunteers.
  5. Provide the birth date of the individual being examined.
  6. Fill in the address details, including street, city, county, and zip code.
  7. For section I, record the results of any tests conducted, specifically the Tuberculin test or chest X-ray. Note the date of the test.
  8. In section II, indicate whether the individual has received the recommended immunizations by selecting ‘Yes’ or ‘No.’ If applicable, check the appropriate boxes for Tdap and MMR vaccinations.
  9. In section III, summarize any findings that may affect the individual’s ability to work or volunteer in a child care facility.
  10. Specify any conditions contraindicating a person from serving as a Food Handler or Child Care Facility Driver, if applicable.
  11. Provide any recommendations related to the individual's fitness to work or volunteer.
  12. Include the date of examination, physician’s name, state license number, signature, address, city, and telephone number.
  13. Once all fields are filled out, save your changes, then download, print, or share the completed form as needed.

Complete the CFS 602 online today to ensure your compliance with child care facility requirements.

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