LIC 701 Physicians Report - Child Care Centers 2025

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  1. Click ‘Get Form’ to open the LIC 701 Physicians Report in our editor.
  2. Begin with Part A, where the parent must provide their consent. Fill in the child's name and birth date, followed by the name of the child care center and its operating hours.
  3. Next, ensure the parent signs and dates the form to authorize the release of medical information.
  4. Move to Part B for the physician's report. Here, document any relevant health issues such as allergies, developmental concerns, and medications prescribed.
  5. Complete the immunization history section by entering each vaccine's details along with the dates administered.
  6. Finally, review and confirm any TB risk factors present before signing off on the report. Ensure all fields are filled accurately for a smooth submission.

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1999 4.3 Satisfied (93 Votes)
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If you witness or suspect child abuse at a child care facility or in-home child care, call the Pennsylvania Department of Human Services at (215) 560-2541 or ChildLine at 1 (800) 932-0313. You may choose to remain anonymous. This content was last updated by Department of Public Health.
1 adult : 6 children (may include up to 3 infants) 1 adult: 8 children (may include up to 2 infants and must include at least 2 children over the age of six) 2 adults: 14 children (may include up to 3 infants and must include at least 2 children over the age of six) **Note: Providers own children under the age of 10
Recommended Staff:Child Ratio and Group Size: Child Care Centers AgesStaff:Child Ratio Preschoolers: 5 years old 1 adult should care for no more than 8 preschoolers School-age children: 68 years old 1 adult should care for no more than 10 school-age children5 more rows
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