Ccl 029 2013 form-2026

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The document outlines the requirements for maintaining medical records for children in licensed child care facilities in Kansas. It includes forms for parents to provide essential information about their child's health, immunization history, and any special medical needs. The document emphasizes the importance of transferring these records when a child moves to another facility and mandates completion by a licensed physician or approved nurse.

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Click ‘Get Form’ to open the ccl 029 2013 form 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, and contact numbers. This ensures that caregivers can reach you when necessary.
Complete the Medical Record section by detailing any allergies or medical conditions your child may have. If applicable, provide additional information regarding non-prescription medications approved by your physician.
In the History of Immunizations section, record each vaccine received along with dates. If using a Kansas Certificate of Immunizations (KCI), attach it to this form.
Finally, review all entries for completeness and accuracy before signing and dating the form at the bottom.

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