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Medical-Physical Statements $39
Colorado Child Care Employees ONLY. Meets the Child Care Licensing Rule 7.702.41 General Requirements for All Personnel H.-J.
Scheduling Your Appointment
Complete a medical history survey (below) designed specifically for childcare. A Registered Nurse or Physician will review your answers.
Next, choose your precautionary phone call appointment. We only call if you list a medical condition in your medical history. You will receive your Medical/Physical Statement by email within 24 hours after your appointment time.

Stop! You may not fill out this form for another person. The person making the appointment must fill out their own form.
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