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The document OCFS-LDSS-4433 is a Medical Statement of Child in Childcare that must be completed by a licensed physician, physician’s assistant, or nurse practitioner. It includes sections for recording the child's immunizations, medical exemptions, health specifics, and results of physical examinations. The form also addresses allergies, medications, special diets, and any conditions requiring special attention. Additionally, it outlines the process for religious exemptions from immunizations.

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