JFS 01236 (Rev. 3/2022) Page 2 of 4 Part II: Conditions Requiring Medication or Medical Food Completed by Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's

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CHILD MEDICAL/PHYSICAL CARE PLAN FOR CHILD CARE

(If yes, complete JFS 01217 "Request for Administration of Medication", in addition to this form.) In an emergency does this child require additional assistance (more than other children of the same age or in the same

JFS 01236 (Rev. 3/2022) Page 2 of 4 Part II: Conditions Requiring Medication or Medical Food Completed by Licensed Physician, Licensed Dentist, Advanced Practice Registered Nurse, or Certified Physician's Assistant (If no medications or medical foods are …

2021年10月29日 · (a) Ensure that there is a completed JFS 01236 for each condition per child. (b) Ensure that all child care staff members who are trained to perform the medical procedure have signed the JFS 01236. (c) Ensure that there is at least one child care staff member caring for the child at all times who has signed the JFS 01236 on the child's condition.

Please note that if your child has a current health or medical condition requiring child care staff to perform child specific care, such as: provide treatment, care, or to give medication, the JFS 01236 "Medical/Physical Care Plan" or equivalent form and/or the JFS 01217 "Request for Administration of Medication" must be completed and be kept ...

Please note that if your child has a current health or medical condition requiring child care staff to perform child specific care, such as: to monitor the condition, provide treatment, care, or to give medication, the JFS 01236 "Child Medical/Physical Care Plan for Child Care" must be completed and be kept on file at the program/home.