Click to download these forms:

Medication Administration in School or Child Care
Health Care Plan (Epi Pen and Emergency Treatment Form)

Classroom Allergies

Click to download the current Illness Policy Chart for complete information about when to keep your child at home.  See our Illness Information for details about specific diseases, and what to expect with certain illnesses.

Illness Policy Chart

Look here for a complete listing of disease information sheets available for downloading. 

Each link is a downloadable PDF file.

Medications will not be given to children with the exception of life threatening conditions such as a need for EpiPen.  A written consent and explicit directions from both a doctor and the parent or guardian is needed for these medications to be distributed.  The medication must be in the original container and accompanied by an Administration of Medication form.   These medications will be administered by a member of the Little Blessings staff that has been delegated by the nurse consultant and trained in compliance with Section 12-38-132 C.R.S. of the “Nurse Practice Act” as stated in the Rules Regulating Child Care Centers 7.702.41.   An additional fee will be charged for frequent medication administration and medication storage.

Below are the two medical forms required in order for your child to be enrolled in Little Blessings PDO.  These forms are to be completed by your child's Health Care Professional and returned to the office.

Dept. of Health Certificate of Immunization Form (2 pages)
Page 1 (Front)
Page 2 (Back)

General Health Appraisal
General Health Appraisal Form