Form 608 19 2026

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4.8 out of 5

125 votes

The document outlines the exclusion and readmission criteria for children in Child, Youth and School Services (CYSS) programs due to illness. It specifies reasons for exclusion such as fever, vomiting, diarrhea, and other apparent illnesses. The readmission criteria require that children be free of symptoms for a specified period, have received appropriate treatment, and are deemed non-contagious by a healthcare provider.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in the child's name and the reason for exclusion from Child, Youth and School Services (CYSS) programs. Select from options like axillary temperature, vomiting, or other specified illnesses.
Enter the date of completion in section 2b and ensure the Center/Program Director signs in section 2a.
Document the date when the child was seen at the clinic/location in section 3.
Provide a diagnosis and any treatment or medication details in sections 4 and 5 respectively. Remember that children in grade six and above can self-administer medications.
Ensure a physician's signature is obtained in section 6a, along with their stamp (6b) and date (6c).

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (125 Votes)

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