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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
    NEW YORK STATE. OFFICE OF CHILDREN AND FAMILY SERVICES . CHILD IN CARE MEDICAL STATEMENT. To Be Completed By Licensed Physician, Physician Assistant …

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

    https://ocfs.ny.gov/forms/ocfs/OCFS-6004.pdf
    NEW YORK STATE . OFFICE OF CHILDREN AND FAMILY SERVICES . STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT Child Care …

ACS - Eligibility - New York City

    https://www.nyc.gov/site/acs/early-care/forms.page
    Use this form if your reason for care is looking for work if you do not have a current benefits rate letter from New York State Unemployment Benefits. ... For information on all early …

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

    https://ocfs.ny.gov/main/Forms/Day_Care/OCFS-LDSS-7002.docx
    OCFS-LDSS-7002 (5/2015) FRONTNEW YORK STATE. OFFICE OF CHILDREN AND FAMILY SERVICES. MEDICATION CONSENT FORM. CHILD DAY CARE PROGRAMS. …

NEW YORK STATE OFFICE OF CHILDREN AND …

    https://ocfs.ny.gov/forms/ldss/OCFS-LDSS-7020.pdf
    care and currently appears to be free from contagious or communicable diseases. A Child in Care Medical Statement for each child must have been completed within the 12-months …

Child Care - NYC Health - New York City

    https://www.nyc.gov/site/doh/services/child-care.page
    You can find out about past issues at a facility by using NYC Child Care Connect or the State’s Office of Children and Family Services page. If you think a child care facility may …

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

    https://nycid.org/wp-content/uploads/2019/12/Medical-Form.pdf
    OCFS-LDSS-4433 (Rev. 7/2005) REVERSE Medical Statement of Child in Childcare (cont.) Summary of Physical Exam Include special recommendations to Day Care Providers On …

Child & Adolescent Health Examination Form (English)

    https://www.schools.nyc.gov/docs/default-source/default-document-library/ch205-child-adolescent-health-examination-form-english
    Child & Adolescent Health Examination Form (English)

Forms - New York State Department of Health

    https://www.health.ny.gov/forms/
    Uninsured Care Programs. Assignment of Benefits (PDF) Addendum to Home Care (PDF) Home Health Certification and Plan of Treatment (PDF) Nursing Assessment for Home …

Form Search | Forms | OCFS

    https://ocfs.ny.gov/forms/
    To order hard copies of available OCFS forms and publications, submit form ... Room 134 North Bldg. Rensselaer, NY 12144-2834. Or call the Publications Hotline: 518-473-0971. …



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