Health Care Consultant Agreement (Page 2 of 2) in pdf

Health Care Consultant Agreement Page 2

6. A plan for meeting individual children’s specific health care needs, including the

procedure for identifying children with allergies and protecting children from that to

which they are allergic;

7. A plan to allow parents, with the written permission of the child’s health care

practitioner, to train staff in implementation of their child’s individual health care

plan;

8. A plan to ensure that all appropriate specific measures will be taken to ensure that

the health requirements of children with disabilities are met, when children with

disabilities are enrolled;

9. A plan to ensure that all children twelve months of age or younger are placed on

their backs for sleeping, unless the child’s health care professional orders

otherwise in writing;

10. Notification to parents that educators are mandated reporters and must, by law,

report suspected child abuse or neglect to the Department of Children and

Families.

I certify by my signature below that I meet the requirements of the health care

consultant as described above. I have reviewed and understand the regulations

referenced above and have agreed to assist this program regarding the same.

Health Care Consultant___________________________________________________

Title____________________________ Telephone____________________________

MA Certification/Registration Number________________________________________

Expiration Date of MA Certification__________________________________________

Signature_____________________________________________________________

Date of Agreement______________________________________________________

Please refer to A Guide to Developing Sample Health Care Policies for Assistance

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LG/SAHealthCareConsultant20100122

Health Care Consultant Agreement Page 2