Child Health Report Form - Fill Online, Printable, Fillable 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section A: CHILD INFORMATION. Enter your child's name, birthdate, home address, first day of attendance, and telephone number. Ensure all fields are completed accurately.
3. Proceed to Section B: PARENT OR GUARDIAN. Provide details for each parent or guardian including names, relationships to the child, email addresses, home addresses, and phone numbers. If applicable, indicate if the child resides at that location.
4. In Section C: AUTHORIZED PERSONS, list individuals authorized to pick up your child. Include their names, relationships to the child, and contact information.
5. Complete Section D: EMERGENCY CONTACT by providing a contact person who can be reached in case of an emergency when parents cannot be contacted.
6. Fill out Section E: PHYSICIAN OR MEDICAL FACILITY with your child's healthcare provider's information.
7. In Section F: HEALTH HISTORY AND EMERGENCY CARE PLAN, answer questions regarding any special medical conditions and provide necessary details as required.
8. Review all sections for completeness before signing in Section K. Ensure you date the form appropriately.

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