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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
- CHILD IN CARE MEDICAL STATEMENT. To Be Completed By Licensed Physician, Physician Assistant or Nurse Practitioner. Name of Child: Date of Birth: / / Date of …
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 …
REQUIRED FORMS AND CLEARANCE LIST
- https://ocfs.ny.gov/forms/ocfs/ocfs-6000.pdf
- DCC, SACC and Legally Exempt Group Program Directors: Submit all required forms listed below to your Licensor/Registrar or Enrollment Agency along with SCR payment. Your …
Form Search | Forms | OCFS
- 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 …
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-7002 - New York State Office of …
- https://ocfs.ny.gov/main/Forms/Day_Care/OCFS-LDSS-7002.docx
- NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES MEDICATION CONSENT FORM CHILD DAY CARE PROGRAMS This form may be used to meet the …
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. …
Child Care Services | Division of Child Care Services
- https://ocfs.ny.gov/programs/childcare/
- The New York State Office of Children and Family Services provides a range of resources to help parents with their child care needs, people who want to start or are currently …
Child Care Programs, Schools and Post-Secondary …
- https://www.health.ny.gov/prevention/immunization/schools/
- Medical Request for Immunization Exemption (NYC only) Fillable Form (PDF) Post-Secondary Institutions Post-Secondary Survey - The survey is now available and due on …
Forms - New York State Department of Health
- https://www.health.ny.gov/facilities/adult_care/forms.htm
- Adult Care Facility Daily Resident Census Report DOH-5176 (DSS-2900) (PDF) Adult Care Facility Inventory of Resident Property DOH-5194 (DSS-3027) (PDF) Adult Care Facility …
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