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Illness Report
| Date ____________________________ Attention_____________________________ Your Child, ________________ Had the following indications of not feeling well today. ____________________ _________________________________________________________________ __________________________ _________________________________________________________________ __________________________ _________________________________________________________________ __________________________ _________________________________________________________________ __________________________ Child Temp:_____________________________Time___________________ Type of method used to take temp e.g. aux, recta;, oral ect _____________________ Initials_________ A check mark next to the symptom means that the responsible parent/guardian needs to follow instructions: ____cold mid, may still attent ___Fever. A Feaver over 100 degrees signifies something is not right. keep home/see dr. and follow all instructions. ___Coughing, hacking/wheezing please see a Dr. befor attending. ___Coughing, minor may attend. ___Sore throat mild child may attend. ___Sore throat, with fever swelling pain please see your Dr. and follow all instructions. ___Rash Not contagious may attend ___Rash Were unable to determine the cause. please see Dr. ___Diarrhea May not attend if more then 3 loose BM"s ___Eye infection Please see Dr. ___Head Lice May not attend See Dr. ___Flu may not attend ___Vomiting If more then tree times please keep hom for 24 hours. Others Describe Below_____________________________________________ ________________________________________________________________ ________________________________________________________________ _________________________________________________________________ In order for me to ensure the health and saftery of the other children and families in my care, I will strickly impliment all sick policies. Do not send your child to daycare if he or she has been sick in the last 24 hours. A complete "Authorization for Medication" must accompany *All* medications!!! This includes Tylenol, Benadryl, Dimetapp, Prescriptions, medicated creams, and teething gel!!! |