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CPR & First Aid Classes
Medication Administration Classes
Medical-Physical Statements
Nurse Delegation Request
- Self Schedule A Nurse Delegation
- Upload the child's health care plan
Online Standard Precautions
- Book Standard Precautions Course
Discounts & Invoice Requests
- Bulk Discount Purchase
- Invoice Requests
Child Care Health Consultants
Documents & Resources
Help - FAQ
Contact Us

Virtual Medical Physical Appointments

After filling out your medical history form, schedule your precautionary phone appointment.
Expect a phone call if you report to us a medical condition that could impact your ability to safely do your job.
No phone call is needed if you have no relevant medical conditions.
After the scheduled appointment, your medical physical statement will be emailed to you.

Medical History Form

First name*

Last name*

Email*

Phone*

School Name*

Do you have any medical or psychological conditions that could interfere with your ability to safely work with children? *

Yes

Do you have any of the following medical conditions? Check all that apply.*

None

Low blood sugar

Fainting or dizzy spells

Seizures

Strokes

Moderate to severe back problems

Weakness or numbness in your arms or legs

History of Tuberculosis

Draining wounds/sores

Communicable skin rash

Currently, are you following medically advised or prescribed work restrictions? *

Yes

Currently, is your employer making modifications to your job duties to meet your medical needs?*

Yes

To the best of your knowledge, did you receive all of your childhood immunizations?*

Yes

Other

Do you agree to immediately contact your doctor for any new changes to your physical or mental health that could interfere with you safely working with children? *

Yes

I agree to the release of liability listed on coloradocprpros.com website.*

Yes

Terms & Conditions

Disclaimer

Refunds

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