Physician's Report - Child Care Center's California: LIC 701 form

Form Template

This Child Care Center Physician's Report is designed for both parents and health care professionals to provide important health information for children being enrolled in a child care facility center in California.

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Designed for the submission of form LIC 701, this child care program form tracks important details, including parental consent, immunization history, and the licensed physician's report. This time-saving tool is perfect for nursery schools, child development programs, after-school programs and early childhood care centers.

Using this electronic form for child care licensing, where parents and child care programs can work together to ensure that any health care concerns, medical conditions and medical care needs of young children are known before they enter the child care facility. Use this mandatory reporting form with each parent to best promote managed care of his or her children involved with child care center facilities. Conveniently store and organize primary care medical records, including mental health, for each child participant in a child care center practice. Use knowledge of health records to avoid vaccine-preventable diseases.

Easily accessible from any smartphone or tablet, the form generates blank forms electronically for children who are new to the program, and the results are saved electronically for the facility's records. Health care providers can add their comments and notes regarding any known medical conditions for the child in care, while a parent can sign off on the details electronically.

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