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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
    To Be Completed By Licensed Physician, Physician Assistant or Nurse Practitioner. Name of Child: Date of Birth: Date of Examination: Immunizations required for entry into day …

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

    https://ocfs.ny.gov/forms/ocfs/OCFS-6004.pdf
    Only a health care provider (physician, physician assistant, nurse practitioner) may complete/sign the Medical Status section. A registered nurse is NOT authorized to sign …

OCFS-LDSS-7002 - New York State Office of …

    https://ocfs.ny.gov/main/Forms/Day_Care/OCFS-LDSS-7002.docx
    OFFICE OF CHILDREN AND FAMILY SERVICES. MEDICATION CONSENT FORM. CHILD DAY CARE PROGRAMS. This form may be used to meet the consent …

NEW YORK STATE OFFICE OF CHILDREN AND …

    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 …

REQUIRED FORMS AND CLEARANCE LIST

    https://ocfs.ny.gov/forms/ocfs/ocfs-6000.pdf
    Child Day Care Programs . PROGRAM NAME: FACILITY ID NUMBER: NAME OF PERSON WITH PENDING ROLE : DATE OF BIRTH (mm/dd/yyyy): / / The New York …

New York State Office of Children and Family Services

    https://www.ocfs.ny.gov/forms/ocfs/OCFS-6004.docx
    Only a health care provider (physician, physician assistant, nurse practitioner) may complete/sign the Medical Status section. A registered nurse is NOT authorized to sign …

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

    https://nycid.org/wp-content/uploads/2019/12/Medical-Form.pdf
    To Be Completed By Licensed Physician, Physician’s Assistant or Nurse Practitioner Name of Child: Date of Birth: Date of Examination: Immunizations Medical Exemption The …

Child Care Services | Division of Child Care Services

    https://ocfs.ny.gov/programs/childcare/
    Department of Health and Office of Children and Family Services Issue Emergency Regulations to Strengthen Medical Exemption Process for School Vaccinations …

Forms - New York State Department of Health

    https://www.health.ny.gov/forms/
    General Forms Health Care Coverage Health Insurance Application (PDF) - Some applicants are required to apply for Medicare as a condition of eligibility for Medicaid. …

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

    https://ocfs.ny.gov/forms/
    To order hard copies of available OCFS forms and publications, submit form OCFS-4627: Request for Forms and Publications to: OCFS Forms and Publications Unit 52 …



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