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470-5152, Child Care Provider Physical Examination Report
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WebForms for private child placement agencies. Application for license DHS-7118 (PDF) For more information about licensing forms, call (651) 431-6500; or fax to (651) 431-7643. TTY/TDD users can call the Minnesota Relay at 711 or (800) 627-3529. For the Speech-to-Speech Relay, call (877) 627-3848. WebSTATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION. HEALTH SCREENING REPORT - FACILITY PERSONNEL. ... NOTE TO PHYSICIAN:Personnel in Residential Care Facilities for the Elderly, Community Care or … WebResidential Child Care Licensing. How to Get a License; Child Caring Institutions (CCI) Child Placing Agencies (CPA) ... Contracting with DHS; New Vendor Payment Forms; … how to remove the drive shaft