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Forms

Tuition Express

This form will allow us to automatically draft payments from your card or bank account. Funds will only be removed on the schedule you choose.

Medication Form for Topical Ointments

This medication form is for diaper creams and lotions only. This and the medication must be given to management for approval.

Action Plan: Diabetes

This form is to be filled out for children who have diabetes and require checks and medication. A medication form must be filled out as well. This and the medication must be given to management for approval.

Medication Form

This medication form is for prescription medications or any medications other than diaper cream or lotions. This form must be filled out in addition to the action plans. This and the medication must be given to management for approval. 

Action Plan: Food Allergy

This form is to be filled out when a child has a food allergy that requires an Epi-Pen. This and the medication must be given to management for approval.

Action Plan: Asthma

This form is to be filled out when a child is diagnosed with asthma. A medication form needs to be filled out as well. This and the medication must be given to management for approval.

Medical Exemption from Immunizations

This form is to be filled out when a child is exempt from certain immunizations due to a medical reason.

Discipline Policy

This form is to be filled out for any child enrolled in the facility.

Children's Medical Report

This form is to be filled out and returned within 30 days of the child's first day.

Infant Feeding Plan

This form is to be filled out if you have a child 15 months or younger.

DCDEE Laws and Rules Summary

This form is to be filled out for any child enrolled in the facility.

CACFP Infant Feeding Consent Form

This form is to be filled out for infants under 12 months.

CACFP Income Form

This form is to be filled out for any child enrolled in the facility.

Children's Application

This form is to be filled out for any child enrolled in the facility.

CACFP Enrollment Form

This form is to be filled out for any child enrolled in the facility

Action Plan: Allergy and Anaphylaxis

This form is to be filled out for any child that has an Epi-Pen for an allergy other than food.

(336) 377-9898

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