OCFS-LDSS-4433 Medical Statement of Child in Childcare.doc-2026

1. Click ‘Get Form’ to open the OCFS-LDSS-4433 Medical Statement of Child in Childcare document in our editor.
2. Begin by entering the child's name and date of examination at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Fill in the child's date of birth, followed by the immunization details. For each required vaccine, input the dates administered. If there are any medical exemptions, check 'Yes' and attach necessary documentation.
4. Complete the Tuberculin Test section by entering the test date and results. If applicable, attach a physician's statement for positive results.
5. In the Health Specifics section, indicate any allergies, medications, special diets, or conditions requiring attention. Provide comments as needed.
6. Finally, have the examining physician sign and print their name along with contact details before saving or sharing your completed form.

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