Form LIC627 Consent for Emergency Medical Treatment - Child Care Centers or Family Child Care Homes - California

Form LIC627 Consent for Emergency Medical Treatment - Child Care Centers or Family Child Care Homes - California

What Is Form LIC627?

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 LIC627?
A: LIC627 is a consent form for emergency medical treatment for child care centers or family child care homes in California.

Q: Who is required to use LIC627?
A: Child care centers and family child care homes in California are required to use LIC627.

Q: What is the purpose of LIC627?
A: LIC627 is used to obtain consent from parents or legal guardians for emergency medical treatment for their child while in the care of a child care center or family child care home.

Q: What information is included in LIC627?
A: LIC627 includes the child's information, emergency contact information, authorized individuals to consent to medical treatment, and any known medical conditions or allergies.

Q: Can parents or legal guardians refuse to sign LIC627?
A: Yes, parents or legal guardians have the right to refuse to sign LIC627 and may provide their own form for emergency medical treatment.

Q: Is LIC627 valid for any specific period of time?
A: LIC627 is valid for one year from the date of signature, unless the child's condition or emergency contact information changes.

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Form Details:

  • Released on September 1, 2008;
  • 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 LIC627 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC627 Consent for Emergency Medical Treatment - Child Care Centers or Family Child Care Homes - California

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  • Form LIC627 Consent for Emergency Medical Treatment - Child Care Centers or Family Child Care Homes - California, Page 1
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