Child enrollment and health information for child care centers online fillable form 2025

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The document is a Child Enrollment and Health Information form required by the Ohio Department of Job and Family Services for child care centers and Type A homes. It must be completed before a child's first day of attendance and updated annually. The form collects essential information about the child, parent/guardian contact details, emergency contacts, health conditions, allergies, dietary restrictions, and consent for emergency transportation. It also includes an acknowledgment of the center's policies and procedures.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (81 Votes)
2016	4.2 Satisfied (35 Votes)
2011	4 Satisfied (45 Votes)

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