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©2004 S.P.I.C.E
~ All Rights Reserved ~

~ Health & Medical ~

| Business | Registration | Contract & Policy | Health & Medical |
| Reports & Logs | Authorization & Misc |
*You will need Acrobat Reader to view some of the following files*

~ Accident / Injury Reports ~

Kaleidoscope Child Care Free Forms:

Boo Boo Report

Word

PDF

Forms from Other Providers:

Accident Report	Accident Report (pdf)	Accident Report 2
Accident Report 3	Accident Report 4	Accident Report 5
Boo Boo Report	Accident-Incident (pdf)	Injury-Accident 1
Injury-Accident 2	Minor Injury Report	Record of Incident

~ Medical ~

Kaleidoscope Child Care Free Forms:

Emerg. Permission	Word	PDF
Health Policy	Word	PDF
Medical Permission	Word	PDF

Forms from Other Providers:

Administer Medication	Authorization to Treat	Basic Release
Health-History(pdf)	Emerg.Treatment	Consent Form
Emergency Plan	Emergency Contact	Emergency Information
Emerg.Medical Autho.	Emerg.Medical Form 1	Emerg.Medical Form 2
Emerg.Medical Form 3	Emerg.Transportation	Emergency Treatment
External Preparation	Head Lice Information	Health Record
Medical Authorization 1	Medical Authorization 2	Medical Authorization 3
Medical Consent	Medication Authorization	Medication Log 1
Medication Log 2	Medication Release 1	Medication Release 2
Non Perscription	OTC Medication 1	OTC Medication 2
Physical	Physician Verification

~ Nutrition ~

Kaleidoscope Child Care Free Forms:

Infant Feeding

Word

PDF

Forms from Other Providers:

Allergy and Food	Alternate Nutrition Agreement	Infant Meal
Menu 1	Menu 2	Menu 3
Menu Format	Nutritional Information	Nutrition Assessment
This Weeks Menu

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