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PARENT S STATEMENT ON HEALTH OF CHILD Clear Fields ND DEPARTMENT OF HUMAN SERVICES/CFS SFN 847 Rev. 11-2008 INSTRUCTIONS This form must be completed annually for any child enrolled in a licensed early childhood facility. This form is completed by a parent or guardian of the child. Full Legal Name of Child Birth Date Enrollment Date Please check one Dropin Relationship Address Home Telephone Number FT B/A School City Work Telephone Number State ZIP Code Family Dentist Family Physician Clinic Telephone Number Hospital Last Visit to Doctor Child s Height Does The Child Have Any food medication or environmental allergies Yes No Describe Allergy Reaction If Yes List Allergies Usual Treatment Please Check If Any Of The Following Conditions Exist Asthma Heart Condition Hearing Impairment Behavioral Issues Diabetes Seizure Disorder Frequent Earaches Other Conditions please specify Vision Impairment Please Explain All Checked Items Is The Child Under Current Medical Treatment If yes please list....

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How to fill out the ND SFN 847 online

Filling out the ND SFN 847 form is an important step for parents or guardians to provide essential health information about their child enrolled in a licensed early childhood facility. This guide will walk you through the process of completing the form online with clear and supportive instructions.

Follow the steps to successfully complete the ND SFN 847 form.

  1. Click ‘Get Form’ button to obtain the document and access it in the editor.
  2. Enter the full legal name of the child in the designated field. Make sure to spell the name correctly as it will be used for formal documentation.
  3. Provide the child's birth date, ensuring it is formatted correctly.
  4. Insert the enrollment date of the child in the early childhood facility.
  5. Select whether the child is enrolled as a drop-in or full-time by checking the appropriate box.
  6. Fill in the full legal name(s) of the parent or guardian. This should include the names of everyone responsible for the child's care.
  7. Indicate your relationship to the child in the specified field.
  8. Include your current address, home telephone number, work telephone number, city, state, and ZIP code to ensure communication can be established.
  9. List the family dentist, family physician, and clinic, along with their respective telephone numbers.
  10. Provide the name of the hospital associated with the child's healthcare and its telephone number.
  11. Record the date of the child's last visit to the doctor.
  12. Input the child's height and weight in the specified fields.
  13. Indicate if the child has any food, medication, or environmental allergies by checking 'Yes' or 'No' and describe the allergy reaction if applicable.
  14. If the answer is 'Yes,' list any allergies and the usual treatment for these allergies.
  15. Check off any existing conditions your child may have, such as asthma or diabetes, and provide explanations for these conditions in the designated area.
  16. State whether the child is currently under medical treatment and list the details if applicable.
  17. Indicate if the child takes any medications daily and list them if the answer is 'Yes.'
  18. Describe any limitations the child may have that could affect their participation in an early childhood program.
  19. Specify whether there is a health care plan for your child and attach it if available.
  20. Confirm that you have reviewed the liability insurance requirements with your child care provider.
  21. Finally, certify that the information provided is true to the best of your knowledge by signing the form and dating it.
  22. Once you have filled out the form, you can save your changes, download it, print it, or share the completed form as necessary.

Complete the ND SFN 847 form online today to ensure your child's health information is accurately submitted.

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Medical neglect is typically characterized by a caregiver's failure to provide essential medical care for a dependent individual, resulting in potential harm. This includes ignoring chronic health conditions, not administering prescribed medications, or failing to attend medical appointments. Understanding these qualifications helps in recognizing when to act. Using the ND SFN 847 can facilitate the reporting of such situations.

Neglect itself is not classified as a medical diagnosis, but it can lead to significant health issues that require medical attention. Recognizing neglect is essential for ensuring that individuals receive proper care. If you suspect neglect, it may be necessary to report it using the ND SFN 847 to ensure individuals get the help they need.

Proving someone is not fit to be a parent typically involves demonstrating their inability to provide adequate care or a safe environment for their child. This could include evidence of substance abuse, neglectful behavior, or criminal history. It’s important to compile this information carefully and typically requires legal proceedings. If you need assistance, the ND SFN 847 form can help you initiate necessary actions.

To prove parental medical neglect, you need to gather clear evidence demonstrating a parent's failure to seek necessary medical care for their child. This may include medical records, witness statements, or documentation of the child's health conditions. It's crucial to present a comprehensive case to the appropriate authorities. The ND SFN 847 can guide you in reporting these situations accurately.

Medical neglect in children involves failing to provide necessary medical care, which can lead to serious health issues. For instance, if a parent ignores a child's need for essential medications or regular check-ups, this could be categorized as neglect. Understanding these examples helps in identifying at-risk situations. With resources like the ND SFN 847, you can report such concerns effectively.

Filing a 960 in North Dakota requires you to complete the ND SFN 847 form properly. You can obtain this form from the North Dakota Department of Human Services website or local offices. Once filled out, submit it to the appropriate agency along with any required documentation. Be sure to keep a copy for your records.

Is without proper care, control, or education as required by law, or other care and control necessary for the child's well-being because of the physical, mental, emotional, or other illness or disability of a person responsible for the child's welfare, and that such lack of care is not due to a willful act of ... North Dakota Century Code t50c25.1 North Dakota Legislative (.gov) https://ndlegis.gov › cencode North Dakota Legislative (.gov) https://ndlegis.gov › cencode PDF

Unable to Determine. The Unable to Determine (or UTD) disposition is assigned as the outcome of the investigation if the caseworker determines that the reported abuse or neglect did occur but there is not enough evidence to support this determination. Child Protective Services: Investigation Phase | Texas Law Help texaslawhelp.org https://texaslawhelp.org › article › child-protective-servic... texaslawhelp.org https://texaslawhelp.org › article › child-protective-servic...

Under North Dakota law, a child can be removed from their parents by a law enforcement officer or as directed in a temporary custody order if the child is suffering from illness or injury or is in immediate danger from the child's surroundings and the child's removal is necessary. Juvenile Court - Children in Need of Protection Cases North Dakota Court System (.gov) https://.ndcourts.gov › juvenile-court › CHIPS North Dakota Court System (.gov) https://.ndcourts.gov › juvenile-court › CHIPS

Report Suspected Child Abuse and Neglect Protect the health and welfare of children by encouraging the reporting of children who are known to be or suspected of being abused or neglected. Provide adequate services for the protection and treatment of abused and neglected children and to protect them from further harm.

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