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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
    Per NYS law, a blood lead test is required at 1 and 2 years of age and whenever risk of lead poisoning is likely. If the child has not been tested for lead, the day care provider may not exclude the child from child day care, but must give the parent information on lead poisoning and prevention, and refer the parent to their health care provider or the county health department for a lead blood screening test.

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY …

    https://images.shulcloud.com/7854/uploads/Early-Chidhood/Forms-2020-2021/MEDICALFORMNEWYORKSTATE.pdf
    NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES CHILD IN CARE MEDICAL STATEMENT To Be Completed By Licensed Physician, Physician …

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

    https://ocfs.ny.gov/forms/ocfs/OCFS-6004.pdf
    STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER MEDICAL STATEMENT Child Care Programs. Instructions: • A signature is required on BOTH SIDES of this form. If the …

NEW YORK STATE OFFICE OF CHILDREN AND FAMILY …

    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 …

New York State Office of Children and Family Services

    https://www.ocfs.ny.gov/forms/ocfs/OCFS-6004.docx
    MEDICAL STATEMENT Child Care Programs I nstructions A signature is required on BOTH SIDES of this form. If the only role is a household member, complete ony the front …

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

    https://www3.sunysuffolk.edu/forms/dss-4433.pdf
    Medical Statement of Child in Childcare (cont.) Summary of Physical Exam Include special recommendations to Day Care Providers On the basis of my findings as indicated …

Medical Statement of Child in Childcare - University at Buffalo

    http://ecrc.buffalo.edu/_docs/Medical-Statement-of-Child-in-Childcare.pdf
    statement from a parent, parents or guardian of the child stating that they object of the immunization of their child due to their sincere and genuine religious beliefs should be …

CHILD IN CARE MEDICAL STATEMENT - University at Buffalo

    https://www.buffalo.edu/content/dam/www/ubccc/Forms/OCFS-LDSS-4433MedicalStatementofChildinChildcare.pdf
    Public Health law Section 2164 allows a child to be religiously exempted from immunization. A written and signed statement from a parent, parents or guardian of the child stating …

Child Care Services | Division of Child Care Services | OCFS

    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 …

Child Care Programs, Schools and Post-Secondary Institutions

    https://www.health.ny.gov/prevention/immunization/schools/
    Guidance on Immunization-Related Medical Exemptions for School-Aged Children (PDF) Immunization Requirements for School Attendance/Medical Exemption Statement …



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