Called 911 2026

1. Click ‘Get Form’ to open the Called 911 document in the editor.
2. Begin by entering the Provider Name and Provider ID at the top of the form. This identifies the child care provider involved in the incident.
3. Fill in the Name of Injured Child, Age of Child, Date and Time of Incident, and select the Child’s Gender. These details are crucial for accurate reporting.
4. In the 'Called 911' section, check if emergency services were contacted. You can also indicate if Poison Control was called.
5. Next, check all applicable types of injury or incident from options like Open Wound/Cut or Sprain/Strain/Twist. Be thorough to ensure proper documentation.
6. Specify which Body Parts were affected by selecting from options such as Head/Face or Arms/Elbows. If necessary, provide additional details in 'Other'.
7. Document any Professional Medical Treatment Given, including First Aid or EMT Treatment Onsite. This is vital for follow-up care.
8. Complete sections on Where Injury Occurred and Cause of Injury by checking relevant boxes to give context to the incident.
9. List names of staff present and/or witnesses, followed by a brief summary of the incident for clarity.
10. Finally, ensure Parent/Guardian Contacted information is filled out along with signatures from both Parent/Guardian and Licensee/Staff.

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