Form LIC702 Child's Preadmission Health History - Parent / Authorized Representative Report - California

Form LIC702 Child's Preadmission Health History - Parent / Authorized Representative Report - California

What Is Form LIC702?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form LIC702?
A: Form LIC702 is the Child's Preadmission Health History - Parent/Authorized Representative Report.

Q: What is the purpose of Form LIC702?
A: The purpose of Form LIC702 is to gather health history information for a child before they are admitted to a child care facility in California.

Q: Who is required to complete Form LIC702?
A: The child's parent or authorized representative is required to complete Form LIC702.

Q: What information is requested on Form LIC702?
A: Form LIC702 requests information about the child's medical history, immunizations, allergies, and special health care needs.

Q: Is Form LIC702 mandatory?
A: Yes, Form LIC702 is mandatory for the preadmission process in California child care facilities.

Q: Are there any fees associated with Form LIC702?
A: No, there are no fees associated with Form LIC702.

Q: Can I submit Form LIC702 electronically?
A: Electronic submission of Form LIC702 may be allowed by the child care facility, but it is best to check with the facility directly for their preferred submission method.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LIC702 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC702 Child's Preadmission Health History - Parent / Authorized Representative Report - California

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