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.
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.
Form Details:
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.