Ocfs medical form

    • [DOC File]OCFS-8001 - New York

      https://info.5y1.org/ocfs-medical-form_1_13c1d2.html

      OCFS-8001 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION Description: No alterations can be made to this form without prior approval from BWM Last modified by: NYC Children Services Created Date: 6/17/2015 3:19:00 PM Category: Bureau of Waiver Management Company: OTDA Other titles: OCFS-8001

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    • [DOC File]OCFS-4922 (5/2009)

      https://info.5y1.org/ocfs-medical-form_1_980689.html

      OCFS has developed a standardized letter with information about Medicaid eligibility and contact information specific to the youth that must be given to the youth at final discharge. (Refer to 09-OCFS-ADM15) Indicate the date of the youth’s last comprehensive medical exam and whether the youth will need a medical exam prior to discharge.

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    • [DOCX File]OCFS-LDSS-7002 - Capital District YMCA

      https://info.5y1.org/ocfs-medical-form_1_14792a.html

      OCFS-LDSS-7002 (5/2015) FRONTNEW YORK STATE. OFFICE OF CHILDREN AND FAMILY SERVICES. MEDICATION CONSENT FORM. CHILD DAY CARE PROGRAMS. This form may be used to meet the consent requirements for the administration of the following: prescription medications, oral over-the-counter medications, medicated patches, and eye, ear, or nasal drops or sprays.

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    • [DOC File]OCFS-LDSS-7008 Provider Handout - …

      https://info.5y1.org/ocfs-medical-form_1_67811c.html

      The revised enrollment form must be submitted to the local district by January 31, 2005, to document your status. If the provider does not have the revised enrollment form, it can be obtained by calling a DSS representative. What must a legally-exempt child care provider do to become authorized by OCFS to administer medication?

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    • [DOC File]OCFS-LDSS-7020

      https://info.5y1.org/ocfs-medical-form_1_766460.html

      If this form is submitted to OCFS separate from the health care plan, indicate date of submission: This form can be sent in separately to OCFS if the program’s health care plan has already been approved and the only change to the plan is the addition or removal of a medication administrant or an update to information for a current medication ...

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    • [DOCX File]Office of Children and Family Services | Home | OCFS

      https://info.5y1.org/ocfs-medical-form_1_491d88.html

      OCFS-6004 (08/2019) FRONT. NEW YORK STATE. OFFICE OF CHILDREN AND FAMILY SERVICES. STAFF, VOLUNTEER, AND HOUSEHOLD MEMBER . MEDICAL STATEMENT. Child Care Programs. I. nstructions: A signature is required on BOTH . SIDES of this form. If the only role is a household member, complete ony the front page.

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    • [DOCX File]OCFS-LDSS-7000 - University at Albany, SUNY

      https://info.5y1.org/ocfs-medical-form_1_e7e778.html

      OCFS-LDSS-7000 (4/2008) NEW YORK STATE. ... Provider, refer to the detailed instructions when completing this form. SECTION I – PROVIDER’S INFORMATION. Provide the information requested below. ... The person designated to give medicine is a trained medical professional with a license .

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    • [DOC File]Microsoft Word - OCFS-LDSS-0792 Day Care …

      https://info.5y1.org/ocfs-medical-form_1_c4e1f4.html

      Title: Microsoft Word - OCFS-LDSS-0792 Day Care Registration Form Subject: Day Care Registration Form. This is the quick reference card that day care providers keep on each child for emergency medical information and emergency contacts.

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    • [DOCX File]Office of Children and Family Services | Home | OCFS

      https://info.5y1.org/ocfs-medical-form_1_2754e2.html

      the information provided is true and accurate. I understand that my failure to truthfully and accurately state the below information may constitute grounds for dismissal or denial of employment, or suspension, limitation or revocation of the license or registration to provide child care.

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    • [DOT File]Office of Children and Family Services | Home | OCFS

      https://info.5y1.org/ocfs-medical-form_1_029f1c.html

      Medical Exemption. The physical condition of the named child is such that one or more of the immunizations would endanger life or health. Attach certification specifying the exempt immunization(s). ... OCFS-LDSS-4433 (Rev. 06/2019) Created Date: 6/21/2019 2:37:00 PM ...

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