LIC 702 - Child's Preadmission Health History - Parent/Authorized Representative Report

The LIC 702 form, Child's Preadmission Health History - Parent/Authorized Representative Report, serves as a comprehensive health history questionnaire filled out by parents or authorized representatives during the enrollment process of a child in a child care center or family child care home. It requests detailed information about the child's past and current health conditions, allergies, medications, dietary requirements, and any other relevant health-related details that can help child care providers ensure the child's safety and well-being while in their care.