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Get and Sign 561 B Form 2002-2022

Get and Sign 561 B Form 2002-2022

Use a dcfs forms 2002 template to make your document workflow more streamlined.

Mental medical and/or dental health that required urgent medical care. If so provider to include child s name and DOB and sign and date additional pages. If follow-up care indicated specify Signature of Health Care Provider Date Dentist Address Phone Signature Stamp Required DCFS 561 b Rev 07/02 DCFS 561 b DENTAL EXAMINATION FORM Distribution Pages 1 2 and 3 to foster caregiver when child initially placed. Page 4 to be filed in Psychological/Medical/Dental folder purple. The HEALTH EDUCATION...
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