State Forms and Supporting Information
for enrollment in childcare.
For your convenience, links to necessary forms are available on this page. Links with titles in RED are required for enrollment. Links with titles in BLACK are supporting documents required to be made available to enrolling families.
Links highlighted in BLUE are additional helpful information pages.
Authorization For Emergency Medical Care http://www.kdheks.gov/bcclr/application_packets_and_forms/child_care_and_foster_care/CCL_010_Authorization_for_Emergency_Medical_Care.pdf
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State Guidelines For Exclusion For Illness
http://www.kdheks.gov/bcclr/application_packets_and_forms/child_care/CCL_037_Guidelines_for_Exclusion.pdf
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Selecting Child Care: A guide for parents
http://www.kdheks.gov/bcclr/application_packets_and_forms/child_care/CCL_036_Selecting_Child_Care_Guide_for_Parents.pdf
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Medical Record, Immunization Record, Medical Health Assessment http://www.kdheks.gov/bcclr/application_packets_and_forms/child_care/CCL_029_&_029a_Child_Medical_Record_Immunization_History_&_Health_Assessment.pdf
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Johnson County Exclusion Recommendations
http://health.jocogov.org/docs/jchd_exclusion.pdf
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Comparing Licensed Daycare Homes and Group Daycare Homes http://www.kdheks.gov/bcclr/application_packets_and_forms/child_care/CCL_033_Comparing_LDCH&GDCH.pdf
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Alternate Kansas Certificate of Immunization
http://www.kdheks.gov/immunize/download/KCI_Form.pdf
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"Kan Be Done By 1" Schedule
http://www.kdheks.gov/immunize/download/VFC_Insert.pdf
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A Parents Guide To Safe Sleep
http://www.healthychildcare.org/pdf/SIDSparentsafesleep.pdf
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Medical Exemption Form In the case of sensitivity to specific vaccinations, this form is required to be signed by a physician and kept on file.
http://www.kdheks.gov/immunize/imm_manual_pdf/KCI_formB.pdf
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Recommended immunization schedule for persons aged 7 through 18 years http://www.kdheks.gov/immunize/download/7-18yrs-schedule-pr.pdf
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Recommended Adult Immunization Schedule 2012
http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule.pdf
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