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Call Us: 1-330-758-2108   /   hitchdc58@gmail.com  /  8482 Hitchcock Rd, Youngstown, OH 44512

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CHILD CARE PLAN FOR HEALTH CONDITIONS OR MEDICAL PROCEDURES

This form is required by law and provides information on parents/guardians and doctors of the child, which would be required in case of an emergency. It must be completed and turned in before the first day of class.

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CHILD MEDICAL STATEMENT

This form is required by law and provides information on parents/guardians and doctors of the child, which would be required in case of an emergency. It must be completed and turned in before the first day of class.

Download PDF Form


 
CHILD ENROLLMENT AND HEALTH INFORMATION

Each child is required by law to be examined by a licensed physician and have this form completed (with date of exam and date of physician’s signature) and returned within 30 days of starting class. This form must be completed every 12 months.

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REQUEST FOR ADMINISTRATION OF MEDICATION

This form must be filled out if the preschool is to administer any type of medication to your child. An additional form will be needed for each medication that may need to be administered.

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