Da 7625 1-2026

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The document outlines the Army Child and Youth Services Health Screening Tool, which is designed to collect essential health information about children participating in Army programs. It includes sections for general information, identification of medical conditions and restrictions, medication details, and specific medical action plans for allergies, respiratory issues, seizures, and diabetes. The tool aims to ensure the safety and well-being of children by facilitating appropriate care and emergency responses while participating in Army Child and Youth Services.

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Click ‘Get Form’ to open the da 7625 1 in the editor.
Begin with Part A - General Information. Fill in the child's name, date of birth, family member prefix, and type of placement requested. Ensure all details are accurate.
Proceed to Part B - Identification of Child/Youth Condition/Restrictions. For each condition listed, check 'Yes' or 'No' and provide explanations where necessary.
In Part C - Medications, indicate if the child is on any medications regularly. If yes, list them and specify which require administration during care hours.
Complete Parts D and E regarding Early Intervention and Special Education plans as well as EFMP Enrollment. Provide necessary authorizations for medical information release.
Finally, ensure that a parent or guardian signs at the bottom of the form along with the date before submitting it through our platform.

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