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Available on

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Childcare Caregiver Health Evaluations Mobile App

Created specifically for daycares, this mobile app records information such as allergies and vaccinations.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Childcare Caregiver Health Evaluations Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name

  • Ico textbox

    Social Security Number

  • Ico multiline

    Address

  • Ico textbox

    Telephone Number

  • Ico textbox

    Job Title

  • Ico textbox

    Family Physician

  • Ico textbox

    Telephone Number

  • Ico textbox

    Emergency Contact

  • Ico textbox

    Relationship

  • Ico multiline

    Address

  • Ico textbox

    Telephone Number

  • Ico statictext

    Note: if you are pregnant or planning a pregnancy, please discuss occupational risks peculiar to ...

  • Ico statictext

    Do you have any allergies to:

  • Ico checkbox

    Latex or vinyl

  • Ico checkbox

    Foods

  • Ico checkbox

    Pollens/dusts

  • Ico checkbox

    Chemicals/household products

  • Ico checkbox

    Soaps/personal care products

  • Ico checkbox

    Certian types of clothing/gloves

  • Ico dropdown

    Have you had this disease?

  • Ico dropdown

    Have you had vaccinations for this disease?

  • Ico dropdown

    Disease

  • Ico statictext

    Documentationof TB skin test or X-ray must be placed in each caregiver's file.

  • Ico date

    Date of TB skin test:

  • Ico dropdown

    Result:

  • Ico statictext

    If you have had a positive TB skin test please complete the following:

  • Ico date

    Date of skin test conversion:

  • Ico date

    Last chest X-ray date:

  • ...and More!

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