Forms
Back to Sleep for Babies in Foster Care:
Every Time, with Every Caregiver
For judges or caseworkers to provide to all caregivers involved in a baby’s care (including foster parents and birth parents) to educate them about safe sleep, and pledge to follow the proper safe sleep practices.
Consent to Obtain Confidential Records
of Information
To be completed by a patient, or the guardian of a patient, who is allowing a practice to obtain specified confidential records.
Consent to Release Confidential Records or Information
To be completed by a patient, or the guardian of a patient, who is consenting to the release of confidential records or information, to a specified practice.
Health Information Form
For use by health care professionals to assist in better assessing and monitoring children and teens in foster care. Such documentation will ensure that children in foster care receive the best possible care.
Health Summary Form
To be completed (or updated) by the physician/provider at the conclusion of every visit, and given to the child’s or teen’s foster parent(s) and caseworker as a complete summary of the most important health issues, treatment plans, and upcoming appointments.
Referral and Feedback Form
A disclaimer statement per your institution can be added to the bottom of this form.
Tip Sheets
Confidentiality Laws Tip Sheet
Foster Care Coding Fact Sheet
Foster Care Friendly Office Tip Sheet
Coming Soon!
Helping Children Gain Mastery
Through Setting Limits Coming Soon!
What to Do if a Child or Teen Acts Out
or Hurts Others? Coming Soon!
AAP Family materials
HealthyChildren.org
A new AAP consumer Web site where you can find a wealth of materials related to the health and well-being of children and teens.
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