Get Ca Lic 702 2008-2025

The CA LIC 702 is a crucial form used for documenting a child’s preadmission health history. This guide will provide you with clear and comprehensive instructions to facilitate the online completion of this form effectively and accurately.

Follow the steps to complete the CA LIC 702 online.

1. Press the ‘Get Form’ button to access the CA LIC 702. This will open the form in an editable format, allowing you to fill in the necessary information.
2. Begin by entering the child's name, sex, and birth date in the designated fields.
3. Fill in the father's or father's domestic partner's name and indicate whether they live in the home with the child.
4. Next, provide the mother’s or mother’s domestic partner’s name and similarly state if they reside with the child.
5. Indicate whether the child has been under regular supervision by a physician and enter the date of the child's last physical or medical examination.
6. For infants and preschool-age children, fill out the developmental history section with the ages at which the child walked, began talking, and started toilet training.
7. Check any past illnesses the child has experienced and specify the approximate dates for each illness.
8. In the section for serious or severe illnesses or accidents, provide details if applicable.
9. Answer whether the child has frequent colds, and if so, state the number experienced in the last year.
10. List any known allergies that staff should be informed about.
11. Complete the daily routines section by noting the child's wake-up and bedtime, whether the child naps during the day, and details about their diet pattern, including any food dislikes or eating problems.
12. Indicate if the child is toilet trained and, if so, provide specifics on bowel and urination practices.
13. Evaluate the child's health, noting any current medical care, prescribed medications, and special devices used by the child.
14. Provide an evaluation of the child's personality, including relationships with family members and peers, as well as any special problems, fears, or needs.
15. State the reason for requesting day care placement.
16. Finally, ensure to sign and date the form to confirm the provided information is accurate and complete.

Complete the CA LIC 702 online now to ensure your child's health history is accurately documented.