Records & Forms

 

 

 

The forms below are listed for your reference. All items with an asterisk are part of your child's enrollment paperwork and must be completed by their start date. You can download, print and return the completed forms to our office. If you do not have access to print the forms, please contact the office for assistance.

 

 

 

Enrollment Form*

 

 

Immunization Record*

​

​

Authorization Direct Payment Form*

 

Health Care Summary* ( Must be completed by Health Care Provider)

​

 

Parent Packet*

​

​

Non Prescription Products authorization*

​

​

Infant Intake Form*

​

​

Toddler Intake Form*

 

 

Non-prescription/Over the counter medication form

 

 

Prescription Medication Form

 

 

Babysitting authorization Form

 

 

Diabetes Care Plan(*if applicable)

​

 

Severe Allergy Care Plan (*if applicable)

​

 

Asthma Care Plan (*if applicable)

​

​

Individual Child Care Plan (*if applicable)

​

 

Vacation Request Form

​

​

Request to Add a day Form

Employment Application

 

 

FAQ's Baby/Daily Connect

​

 

Maltreatment of Minors Mandated Reporting Policy for DHS Licensed Programs