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Child Medical Statement - Ohio Department of Education

Child Medical Statement - Ohio Department of Education 2025

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The document is an Employee Medical Statement form used by the Office of Early Learning and School Readiness in Ohio, revised on March 12, 2018. It includes sections for medical provider information and verification of an employee's medical status, ensuring they are free of communicable diseases and fit to work with children. The form must be completed by a qualified medical professional and updated regularly as per program policy.

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Click ‘Get Form’ to open the Child Medical Statement in the editor.
Begin with Section I, where you will enter the Medical Provider Information. Fill in the Physician/Clinic/Hospital Name, Provider Address, Phone Number, City, State, and Zip Code accurately.
Move to Section II for Medical Statement Verification. Enter the Employee Name and check the appropriate boxes to certify their medical status: Free of Communicable Disease and Fit to work with children. If there are any medical limitations, detail them in the provided space.
Select the examining medical professional by checking the corresponding box (Physician, Physician Assistant, or Advanced Practice Registered Nurse). Ensure that a signature from the medical professional is included along with the date.
Review all entered information for accuracy before saving or exporting your completed form.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (50 Votes)
2018	4 Satisfied (54 Votes)
2016	4.3 Satisfied (57 Votes)
2010	4.7 Satisfied (52 Votes)

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

How many kids can an in-home daycare have in Ohio?

Family Child Care Providers (Type A and Type B Home providers). Type A Home providers can care for 7-12 children at one time, however, each staff member can care for no more than six children at one time (and no more than three children under age two).

What is the purpose of the Ohio Department of Education?

The Department of Education and Workforces responsibilities include setting minimum operating standards for schools, developing academic standards and model curricula, administering state assessments, publishing the state report cards, administering state scholarship programs, overseeing community schools, enforcing

Who regulates daycare in Ohio?

Child Care in Ohio In addition, ODJFS and county agencies are responsible for licensing and inspecting all child care settings in Ohio. Customers who are not proficient in English may call 1-877-302-2347, option 4, for translation services.

What is the purpose of general education Ohio State?

The General Education (GE) requirements at Ohio State University are designed to provide a broad education that complements a students major. This setup helps students develop skills that employers want such as critical thinking, communication skills, and cultural awareness.

What is the main purpose of the Department of Education?

The mission of the Department of Education (ED) is to promote student achievement and preparation for global competitiveness by fostering educational excellence and ensuring equal access for students of all ages. Learn more about our mission, offices within ED, key initiatives, and more.

What is a child medical statement?

This form includes sections for immunizations, allergies, medications, and needs for special diets. Proper completion ensures that healthcare providers can make informed decisions regarding a childs wellbeing. Get Child Medical Statement Form.

What is a central purpose for the operating standards for Ohio schools?

Ohios operating standards for school districts and schools establish specific expectations and guidelines for use in creating learning conditions that meet student needs and achieve state and local educational goals and objectives.

Child Medical Statement - Ohio Department of Education 2025

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