Jfs 01236 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the child's name and date of birth in the designated fields. This information is crucial for identifying the child’s medical needs.
  3. In the 'Special Health Conditions' section, list any health issues that require attention. Be specific to ensure proper care.
  4. Detail any symptoms to watch for and outline emergency actions that should be taken if these symptoms occur. This ensures staff are prepared for any situation.
  5. Indicate activities, foods, or environmental conditions that should be avoided to protect the child's health.
  6. If medications are required, check 'Yes' and specify which medications are needed. If not, check 'No'.
  7. Provide training instructions and ensure a trained staff member's signature is included, confirming they are aware of the child’s condition.
  8. Finally, obtain signatures from both the parent and administrator along with their respective dates to finalize the form.

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The Customer Access Center (CAC) provides customers access to information on general services and specific benefits by calling 1-844-640-OHIO (6446). If you have inquiries concerning your Child Care, Medicaid, Food Assistance or general status information, our Customer Access Center will be able to assist you.
Phone: 1-844-640-OHIO (6446) The CACis openMonday through Friday from 8 a.m. to5 p.m. (except County holidays).
Contact ODJFS General - Family Assistance: Phone (614) 466-4815. Email FamilyAssistanceInquiries@jfs.ohio.gov. Out-of-State Inquiries for TANF and SNAP: Email outofstateinquiries@jfs.ohio.gov.
If youd rather apply in person, call your local office or the Ohio SNAP hotline (1-866-244-0071) to find out how. Learn if youre eligible for food stamps. If youd like assistance with your application, your local food bank can help.
If you require additional assistance or were not able to find the answer to your question on this site, contact the call center at 1-844-640-OHIO (6446).