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New York State Office of Children and Family Services

    https://ocfs.ny.gov/main/Forms/Day_Care/OCFS-LDSS-4433.dot
    OFFICE OF CHILDREN AND FAMILY SERVICES . CHILD IN CARE MEDICAL STATEMENT. To Be Completed By Licensed Physician, Physician Assistant or Nurse Practitioner. Name of Child: Date of Birth: / / Date of Examination: / / Immunizations …

OCFS-6004 (08/2019) FRONT NEW YORK STATE OFFICE …

    https://ocfs.ny.gov/forms/ocfs/OCFS-6004.pdf
    STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT Child Care Programs. Instructions: • A signature is required on BOTH SIDES of this form. If the only …

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY …

    https://images.shulcloud.com/7854/uploads/Early-Chidhood/Forms-2020-2021/MEDICALFORMNEWYORKSTATE.pdf
    NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES CHILD IN CARE MEDICAL STATEMENT To Be Completed By Licensed Physician, Physician Assistant or …

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY …

    https://ocfs.ny.gov/forms/ldss/OCFS-LDSS-7020.pdf
    written statement signed by a health care provider verifying that the child is able to participate in child day care and currently appears to be free from contagious or …

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY …

    https://www.buffalo.edu/content/dam/www/ubccc/Forms/OCFS-LDSS-4433MedicalStatementofChildinChildcare.pdf
    OFFICE OF CHILDREN AND FAMILY SERVICES CHILD IN CARE MEDICAL STATEMENT To Be Completed By Licensed Physician, Physician’s Assistant or Nurse …

New York State Office of Children and Family Services

    https://www.ocfs.ny.gov/forms/ocfs/OCFS-6004.docx
    MEDICAL STATEMENT Child Care Programs I nstructions A signature is required on BOTH SIDES of this form. If the only role is a household member, complete ony the front …

Form Search | Forms | OCFS - New York State Office of Children …

    https://ocfs.ny.gov/forms/
    Child Care: Exempt Providers Forms 2023 OCFS-4282 - Youth Detention Out-of-County Bed Request Form English Youth Development and Partnerships for Success Juvenile …

Medical Statement of Child in Childcare - University at Buffalo

    http://ecrc.buffalo.edu/_docs/Medical-Statement-of-Child-in-Childcare.pdf
    statement from a parent, parents or guardian of the child stating that they object of the immunization of their child due to their sincere and genuine religious beliefs should be …

OCFS-LDSS-4433 Medical Statement of Child in Day Care

    https://nycid.org/wp-content/uploads/2019/12/Medical-Form.pdf
    Medical Statement of Child in Childcare (cont.) Summary of Physical Exam Include special recommendations to Day Care Providers On the basis of my findings as indicated above …

Child Care - NYC Health - New York City

    https://www.nyc.gov/site/doh/services/child-care.page
    When deciding where to place your child, you should focus on your family’s specific needs. Be sure to make an informed decision based on the type of program and its performance …



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