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Click ‘Get Form’ to open it in the editor.
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.
In the 'Special Health Conditions' section, list any health issues that require attention. Be specific to ensure proper care.
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.
Indicate activities, foods, or environmental conditions that should be avoided to protect the child's health.
If medications are required, check 'Yes' and specify which medications are needed. If not, check 'No'.
Provide training instructions and ensure a trained staff member's signature is included, confirming they are aware of the child’s condition.
Finally, obtain signatures from both the parent and administrator along with their respective dates to finalize the form.
Start filling out your jfs 01236 form online for free today!
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.
What time does Ohio Jobs and Family Services open?
Phone: 1-844-640-OHIO (6446) The CACis openMonday through Friday from 8 a.m. to5 p.m. (except County holidays).
How do I contact Ohio JFS?
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.
What is the phone number for Ohio benefits?
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.
What is the phone number for JFS Ohio benefits?
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).
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Related links
CHILD MEDICAL/PHYSICAL CARE PLAN FOR
JFS 01236 (Rev. 3/2022). Page 1 of 4. Ohio Department of Job and Family Services. CHILD MEDICAL/PHYSICAL CARE PLAN FOR CHILD CARE. A separate plan must be
Mar 25, 2020 (a) The JFS 01236 shall be used for children with a condition or diagnosis that require the following: (i). Monitoring the child for symptoms
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