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CFS 602 Medical Rpt on Adult in …

    https://www2.illinois.gov/dcfs/aboutus/notices/Documents/CFS_602_Medical_Rpt_on_Adult_in_Child_Care_Facility_%28Fillable%29.pdf

    Forms - Policy, Rules and Forms - Illinois

      https://www2.illinois.gov/dcfs/aboutus/notices/Pages/com_communications_forms.aspx
      CFS 108 Request for Forms. CFS 119-A Unusual Incident Disposition Form. CFS 123 Electronic Mail Communication and Distribution Certificate of Understanding. CFS 151 Notice of Decision. CFS 151-B, Notice of …

    CONSENT FOR ORDINARY AND ROUTINE …

      https://www2.illinois.gov/dcfs/aboutus/notices/Documents/CFS_415_Consent_for_Ordinary_and_Routine_Medical_and_Dental_Care_%28Fillable%29.pdf
      Consent for medical or dental treatments that are not classified as ordinary and routine can be obtained during business hours (Monday through Friday from 8:30 a.m. to 4:30 p.m.) …

    Commonly used provider forms - Illinois

      https://sunshine.dcfs.illinois.gov/Content/CommonlyUsedProviderForms.aspx
      Below are links to some commonly-used forms. Feel free to copy these forms as needed. If you have a question about a form in particular, please contact your licensing …

    MEDICAL EXAMINATION FORM – INSTRUCTIONS

      https://serenitykids.com/wp-content/uploads/2019/11/Medical_Exam_DCFS_561a_82006A.pdf
      provider must record all current medical services on the DCFS 561(a). Please add completed forms to the child’s HEP BINDER. Immediately notify the child’s CSW (or …

    State of Illinois Certificate of Child Health Examination

      https://www2.illinois.gov/dcfs/aboutus/notices/Documents/cfs_600.pdf
      attached explaining the medical reason for the contraindication. Vaccine / Dose 1 MO DA YR 2 MO DA YR 3 MO DA YR 4 MO DA YR 5 MO DA YR ... FOR USE IN DCFS …

    COUNTY OF LOS ANGELES DEPARTMENT OF …

      https://pubftp.dcfs.lacounty.gov/Policy/Forms/DCFS-561a.doc
      The health care provider must record all current medical services and tests on the DCFS 561(a). Please add the completed forms to the child’s HEP BINDER. Immediately notify …

    STATE OF ILLINOIS

      https://www2.illinois.gov/dcfs/aboutus/notices/Documents/CFS_604_Medical_Eval_of_an_Adult_in_a_Foster_or_Adoptive_Home_%28Fillable%29.pdf
      This form will aid the Department in determining the physical wellness and capabilities of adults in foster or ... In your medical opinion could your patient physically be able to: 1. …

    Medi-Cal Forms - California

      https://www.dhcs.ca.gov/formsandpubs/forms/Pages/Medi-CalForms.aspx
      Department of Health Care Services. Medi-Cal Members: Keep your coverage. Log on to your account or contact your county office to update your information.

    Los Angeles County Department of Children and Family …

      https://dcfs.lacounty.gov/
      Los Angeles County Department of Children and Family Services



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