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  • Ia School-age Child Health Form/parent Statement Of Health 2021

Get Ia School-age Child Health Form/parent Statement Of Health 2021-2025

Schoolmate Child Health Form/Parent Statement of Health, HEALTH PROFESSIONAL COMPLETE PAGE OR PROVIDE COPY OF WELL CHILD PHYSICAL1Child Name: Date of Birth: Age: Date of Exam: Immunization.

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How to fill out the IA School-Age Child Health Form/Parent Statement Of Health online

Filling out the IA School-Age Child Health Form/Parent Statement Of Health is an essential step for ensuring the well-being of your child in a school or childcare setting. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

  1. Press the ‘Get Form’ button to access the form and initiate the filling process.
  2. Complete the health professional page by entering the child’s name, date of birth, age, and date of examination. Review the immunization and TB testing sections, providing the necessary details such as height, weight, and blood pressure.
  3. Fill in the laboratory screening information, including blood lead level results and any other relevant health information from the examination.
  4. Indicate any medications the child is authorized to receive during childcare or school. Include both prescribed and over-the-counter medications along with the dosage.
  5. Complete the sensory screening sections for vision and hearing by recording the results for each eye and ear.
  6. Provide details under the health provider comment section regarding any health-related restrictions or special needs care plans for the child.
  7. On the parent/guardian page, fill out the child's name, details of the last physical and dental appointments, and address any concerns regarding body health, growth, appetite, and overall well-being.
  8. Document any allergies or medications your child takes, specifying the reason for administering the medications.
  9. Sign the form with the parent or guardian's signature and date, confirming the information provided is accurate.
  10. Once all necessary information is complete, save any changes made, download, print, or share the form as required.

Complete the IA School-Age Child Health Form/Parent Statement Of Health online today for a smoother childcare experience.

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On March 1, 2023, the income eligibility limit for those initially applying to the Child Care Assistance (CCA) program increased from 145% to 155% of Federal Poverty Level (FPL). Effective July 1, 2023, the income eligibility limit for those initially applying to the CCA program increased from 155% to 160% FPL.

It's everyone's responsibility to report it now! The Child Abuse Hotline at 1-800-362-2178 (available 24 hours a day, 7 days a week). Please be ready to provide identifying information and the whereabouts of the child. You may remain anonymous unless you are making a report as a mandatory reporter.

Call the Abuse Hotline at 1-800-362-2178, available 24 hours a day, 7 days a week. Please be ready to provide identifying information and the whereabouts of the child. You may remain anonymous unless you are making a report as a mandatory reporter.

Please note: A home providing child care to more than 6 children at one time is required to be registered as a Child Development Home (CDH).

If you have concerns regarding a specific child care provider or child care business that is not meeting Iowa regulations, please contact the Iowa Child Care Complaint Hotline at 844-786-1296.

The Iowa EPSDT Care for Kids program developed the Iowa Child Health & Development Record (CHDR) forms to guide and document children's well visits from birth up to age 21. The CHDR forms have helped identify developmental milestones, risk factors, and potential "red flags" for referral.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232