OCFS-0711. Childs Medical Record

Form OCFS-0711: Child's Medical Record is a form used for recording the medical history of a child in New York State. It is a legal document that serves as a medical record of the child and is used to provide information to healthcare providers.

This form is typically completed by the parent or guardian of the child, and is signed by the healthcare provider. It is important for parents and guardians to provide accurate information so that healthcare providers can make informed decisions about the child's health and treatment. The form consists of several sections, including the child's personal information, medical history, immunizations, allergies, medications, and other medical conditions.

The personal information section requires the name, date of birth, address and contact information of the child. The medical history section requires information about the child's past medical visits, surgeries, hospitalizations, or medical conditions. The immunizations section requires information about the types of immunizations the child has had and when they were received. The allergies section requires information about any allergies the child has. The medications section requires information about any medications the child is taking. The other medical conditions section requires information about any other medical conditions the child may have.

An example of when this form would be used is when a child is about to receive medical treatment or is being referred to another medical provider. In this scenario, the parent or guardian would fill out the form and the healthcare provider would review it to determine what treatments or referrals are necessary. The benefits of using this form are that it provides an accurate and comprehensive record of the child's medical history which can be used to make informed decisions about the child's health and treatment.

In addition to the OCFS-0711 form, there may be other documents required to complete the medical record, such as a physical exam form or medical release form. Other forms related to the OCFS-0711 form include the OCFS-0709: Child's Immunization Record and the OCFS-0712: Child's Medical History Form. These forms provide additional information about the child's medical history and immunization status.