State law requires a health history and record of immunizations for each child prior to admission. We must also have the date of your child's last physical exam, which must have been completed

Within one year prior to admission. We also ask for the name of the family physician, who to contact in case of an emergency, and any conditions of the child which may require specific attention.
Children must have all immunizations that are recommended for their age by the State of Ohio. Medical exemptions to immunizations may be granted by a licensed physician; personal or religious exemptions can be claimed by parents/guardians. In the event that your child is not immunized against a particular disease and an outbreak of that disease occurs, your child may be excluded from care.

Yearly we must file an immunization report with the state. At the end of each calendar year we will send out a form asking for updates of your child's immunizations records. Your cooperation in doing this is greatly appreciated and will be facilitated if you keep a record of immunizations in a safe place. Ohio Department of Health provides free immunizations for children.

Child's Medical Statement Child Care Centers and Type A Homes

Request for Administration of Medication