Published on Hospital for Special Care (http://hfsc.org)

Downloadable Forms

Tuition Rates [1]

Program Policies

Parent Handbook [2]
Handbook Acknowledgment [3]

Forms for Enrollment

Application for Enrollment [4]
Contracted Hours [5]
Child Care Center Wait List Form [6]
Child and Family Information [7]
Parent Permissions [8]
Connecticut Early Childhood Health Assessment Record [9] ( to be completed by parent)
Part II - Health Evaluation [10] (to be completed by health care provider)
Connecticut Immunization Schedule [11]
Snack Menu [12]
Parent Involvement Survey [13]
Release of Photographs and of Liability [14]

Forms for Medication Administration

Emergency Health Care Plan [15] (Required for emergency medications)
Prescription Medication Authorization [16] (Required for emergency meds, epi-pen, inhalers, etc…)
Non-Prescription, Topical Medication Authorization [17] (Required for sunscreen, diaper creams, etc…)

Source URL: http://hfsc.org/community/child-care-center/downloadable-forms

Links:
[1] http://hfsc.org/sites/default/files/PDFs/Tuition_ Rates_2013.pdf
[2] http://hfsc.org/sites/default/files/Handbook 2010-2011.pdf
[3] http://hfsc.org/sites/default/files/10-11 handbook acknowledgment.pdf
[4] http://hfsc.org/sites/default/files/CCC/CCC_application_for_enrollment.pdf
[5] http://hfsc.org/sites/default/files/PDFs/Contracted_Hours.pdf
[6] http://hfsc.org/sites/default/files/Wait List Form 2008.pdf
[7] http://hfsc.org/sites/default/files/ChildandFamilyInformation.pdf
[8] http://hfsc.org/sites/default/files/PDFs/Parent_Permissions.pdf
[9] http://hfsc.org/sites/default/files/healthassessrecord.pdf
[10] http://hfsc.org/sites/default/files/healtheval.pdf
[11] http://hfsc.org/sites/default/files/DPH Immunization Schedule 2010.pdf
[12] http://hfsc.org/sites/default/files/Snack Menu 2008.pdf
[13] http://hfsc.org/sites/default/files/Parent Involvement Survey.pdf
[14] http://hfsc.org/sites/default/files/CCC/CCC_photo_release_liability.pdf
[15] http://hfsc.org/sites/default/files/emergplan.pdf
[16] http://hfsc.org/sites/default/files/AdminMeds.pdf
[17] http://hfsc.org/sites/default/files/medpermission.pdf