Dss form 2900 2007-2026

1. Click ‘Get Form’ to open the dss form 2900 2007 in the editor.
2. Begin by filling out the 'General Information' section. Enter the name and address of the child care facility, along with your child's name, date of birth, and enrollment date.
3. Provide your child's current home address and the full names and contact information for both parents or guardians.
4. Designate two individuals who can authorize emergency medical treatment for your child. Fill in their names, addresses, relationships to the child, and phone numbers.
5. Indicate whether your child is currently enrolled in school and specify their regular attendance schedule at the facility.
6. Complete the 'Health Information' section by providing details about your family physician, emergency care provider, dental care provider, and health insurance information.
7. List any health conditions or medications your child has. Finally, certify that your child is in good health by signing and dating the form.

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