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JFS 01234 "Child Enrollment and Health Information" is a prescribed form completed by the parent/guardian which is used to maintain a child's information. This form has been revised to reflect the changes in maintaining and sharing parent/guardian contact information.
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This form is used to collect information about the child, parent, emergency contacts, allergies, medical conditions, and dietary restrictions for child care programs or homes. It also requires parental signature and administrator review and acknowledgement of policies and procedures.
This form is for parents/guardians to enroll their child in a child care program or home and provide health and contact information. It includes questions about allergies, medical conditions, medications, dietary restrictions, diapering, and emergency transportation.
JFS 01234 is a child enrollment and health information form that licensed child care centers must complete and review annually for each child. The form includes the child's name, birth date, medical statement, immunization record, and any health care plan for specific conditions.
Emergency Transportation Authorization. Note: This is a prescribed form which must be used by child care providers to meet the requirements to rules 5101:2-12-15, 5101:2-13-15, and 5101:2-14-04. This form must be on file at the program or home on or before the child’s first day of attendance and thereafter while the child is enrolled.
Yes - a JFS 01236 "Child Medical/Physical Care Plan for Child Care" must be completed. Is your child currently using any medication or medical food? ( check one )
This form is used by child care providers in Ohio to collect information about the child, parent, emergency contacts, health conditions, and diapering preferences. It is based on the rules and regulations of the Ohio Department of Job and Family Services (JFS).
This form is used by child care providers to collect information about the child, parent, emergency contacts, health conditions, and diapering preferences. It must be completed and signed by the parent and the administrator before the child starts care.
JFS 01234 is a prescribed form by Ohio Department of Job and Family Services for enrolling children in child care centers and type A homes. It contains information about the child, parent, emergency contacts, health history, immunizations, and transportation permission.
This form is used to collect information about the child, parent, emergency contacts, allergies, medical conditions, and transportation authorization for child care. It is required by the Ohio Department of Job and Family Services and must be completed and signed before the child's first day of attendance.
JFS 01234 is a form that licensed family child care providers must complete and update for each child in care. It includes information on the child's name, birth date, medical examination, immunizations, and health condition, if any.
Please note that if your child has a current health or medical condition requiring child care staff to perform child specific care, such as: to monitor the condition, provide treatment, care, or to give medication, the JFS 01236 "Child Medical/Physical Care Plan for Child Care" must be completed and be kept on file at the program/home.
Yes - a JFS 01236 "Medical/Physical Care Plan" or equivalent form and if administering medication, a JFS 01217 "Request for Administration of Medication" must be completed. Does your child have a special health or medical condition?
This form is used by child care centers and type A homes in Ohio to collect information about the child's name, address, contact, allergies, health conditions, medication, diet, and emergency transportation. The form must be completed and signed by the parent/guardian and the administrator/designee before the child's first day of attendance.
JFS 01234 (Rev. 9/2011) Page 2 of 3 Child’s Name Allergies, Special Health or Medical Conditions, and Food Supplements Fill in this section accurately and completely. Please note that if your child has a current health or medical condition requiring child care
Fawn Creek (Township, Montgomery, USA) with population statistics, charts, map and location.
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Learn about the history, geography, and demographics of Montgomery County, Kansas, established in 1867 and named after a Revolutionary War hero. Find links to resources such as post offices, cemeteries, newspapers, and maps of the county.
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