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The Au Pair's medical certificate

The Au Pair's medical certificate 2026

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4.4 out of 5

28 votes

The document is a Physician Verified Medical History form for individuals applying to be au pairs with AuPairCare. It requires detailed medical information about the applicant, including past illnesses, vaccinations, hospitalizations, medications, and mental health history. The physician must assess the applicant's overall health and certify that they are fit to care for children. Additionally, the document includes a waiver for emergency medical treatment and emphasizes the importance of travel insurance.

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Click ‘Get Form’ to open The Au Pair's medical certificate in the editor.
Begin by entering the patient's name, date of birth, age, weight, and height in the designated fields. Ensure accuracy as this information is crucial for health assessments.
For each medical condition listed, check 'Yes' or 'No' accordingly. If you select 'Yes', provide additional details about the condition and approximate year it occurred in the space provided.
List all adult vaccinations received by the patient along with their approximate dates. This section is vital for ensuring that the patient meets health requirements.
Answer questions regarding hospitalization, recent treatments, medications, pre-existing conditions, psychiatric counseling, and any history of eating disorders. Provide explanations where necessary.
Complete the final sections regarding the patient's ability to care for children and any additional comments from the physician. Ensure that all fields are filled out accurately before submission.
Once completed, review all entries for accuracy and clarity before saving or exporting your document directly from our platform.

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Versions	Form popularity	Fillable & printable
2015	4.2 Satisfied (36 Votes)
2013	4.4 Satisfied (28 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can au pair use TurboTax?

If you are considered a nonresident of the US, you should file a 1040-NR which TurboTax does not support. If you need to prepare a 1040-NR, you can use Sprintax which is a partner of TurboTax.

What is a certified au pair?

An au pair is a young adult from overseas who lives with your family on a legal visa for up to two years and provides childcare in exchange for a weekly stipend, room and board, and an opportunity to become part of an American family.

Can you write off au pair expenses on taxes?

Many families want to know what allowances exist childcare-related expenses under the Child and Dependent Care Tax Credit. You may be able to claim: Fees paid to Go Au Pair. Stipend paid to your Au Pair.

What is the 2 year rule for au pair?

What is the Two Year Home Residency Requirement? Some immigrants who come to the US on a J-1 visa are required to return to their country of nationality for two cumulative years before they can petition for permanent residence from abroad or adjust status from within the US.

Can I claim my au pair on taxes?

Yes, it is generally considered to qualify. However, host families are advised to verify their particular situation with their tax advisor. To claim the Child and Dependent Care Tax Credit for the au pair stipend, the host family will need to provide the au pairs social security number.

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