MEDICAL FORM

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES – Child In Care Medical Statement

To Be Completed By Licensed Physician, Physician’s Assistant or Nurse Practitioner

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MEDICATION CONSENT FORM

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES – Parent Written Medication Consent Form

This form must be completed in a language in which the child care provider is literate.One form must be completed for each medication. Multiple medications cannot be listed on one consent form.This form or an approved equivalent may be used when a parent consents to having an over-the-counter topical ointments, lotions and creams, sprays, including sunscreen products and topically applied insect repellant administered to their child in a child day care program.

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TRANSPORTATION FORM

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES – Transportation Consent Form – Family and Group Family Day Care

This form may be used to meet the regulatory requirement to obtain written consent from the parent of a child for any transportation provided or arranged for by a caregiver, and to inform the parent when the person who is providing transportation changes. This form is not the transportation plan.Parents whose children receive transportation services must receive, at the time of enrollment of their children, a copy of the program’s transportation plan. If the plan is amended, parents must receive a copy of the amended plan prior to its start date. It is recommended that a separate Transportation Consent Form be completed for each child.

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