Form LIC701A Gastrostomy - Tube Care: Physician's Checklist (Child Care Facilities) - California

Form LIC701A Gastrostomy - Tube Care: Physician's Checklist (Child Care Facilities) - California

What Is Form LIC701A?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the LIC701A form?
A: The LIC701A form is the Physician's Checklist for Gastrostomy Tube Care in Child Care Facilities in California.

Q: What is a gastrostomy tube?
A: A gastrostomy tube is a tube inserted through the abdomen into the stomach to provide nutrition and medication.

Q: Who needs a gastrostomy tube?
A: Individuals who are unable to eat or swallow enough food may need a gastrostomy tube for feeding.

Q: What is the purpose of the LIC701A form?
A: The LIC701A form is used to document the care of a child with a gastrostomy tube in a child care facility.

Q: What information does the LIC701A form include?
A: The LIC701A form includes information about the child's feeding schedule, tube care instructions, emergency contact information, and more.

Q: Why is the LIC701A form important?
A: The LIC701A form is important to ensure that child care providers have the necessary information to properly care for a child with a gastrostomy tube.

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Form Details:

  • Released on September 1, 2000;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LIC701A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC701A Gastrostomy - Tube Care: Physician's Checklist (Child Care Facilities) - California

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