Ks ccl 029 2025

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The document from the Kansas Department of Health and Environment outlines the requirements for medical records, immunization history, and health assessments for children in licensed child care facilities. It includes forms for parents to provide essential information about their child's health, immunizations, and any special needs or conditions. The document emphasizes the importance of transferring these records when a child moves to another facility.

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Click ‘Get Form’ to open the ks ccl 029 in the editor.
Begin by entering the child's name and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill out the Parent/Guardian Information section, including names, addresses, phone numbers, and email addresses. This ensures that caregivers can contact you easily.
Complete the Medical Record section by providing details about your child's physician and dentist, along with their contact numbers.
Indicate any allergies or medical conditions your child may have. If applicable, provide additional information on the Authorization for Emergency Medical Care form CCL. 010.
Sign and date the form at the bottom to confirm that all information provided is accurate and complete.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (248 Votes)
2018	4.4 Satisfied (204 Votes)
2013	4.5 Satisfied (147 Votes)
2011	4.4 Satisfied (192 Votes)

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