Daycare medical form for the child's doctor
A one-page medical report for the child's doctor to fill in and sign before enrollment. Add your center details and download.
- Fill in your detailsYour center, room and dates.
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- Download PDFOr get a blank copy to fill in by hand.
Each section below shows what will print. Use the switch to keep or remove a section, edit the policy wording, and add your own questions at the bottom.
Your own questions
OptionalWhen daycares need a medical form
Many states require a medical report signed by a doctor or nurse practitioner within a set time of enrollment, and again every year for young children. Some states have their own official form, so check your licensing office first.
Medical form vs health history
- Medical form: filled in and signed by the child's doctor after an exam.
- Health history form: filled in by the parent, about routines, allergies and history.
- Immunization record: the vaccine dates, from the doctor or state registry.
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Common questions
What is a daycare medical form?
A form the child's doctor fills in after an exam, confirming the child is healthy enough for child care and listing allergies, conditions, medicines and any special care needs.
How often is a medical form needed?
Many states ask for one at enrollment and then yearly for young children. Check your state's licensing rules.
Is this medical form free?
Yes. Add your details and download a printable form.