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Child's Details
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Parent/Guardian's Details
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Additional Contacts
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General Information
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Permissions and Payment Arrangements
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This is a requirement of care. Please provide the service with a copy of your child's immunisation record.
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Any ongoing medical conditions your child has been diagnosed with such as Allergies, Intolerances, Asthma, Autism, Diabetes. Any information you can supply regarding this diagnosis is helpful.
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Medications, Emergency Action Plans
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The following information is required for CCMS claims
According to CCB & CCR eligibility
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Legal/Court Appointed Documents
Should your child be named in any legal document that refers to a Custody Arrangement or be protected by a restraining order, the Service will require a copy of these documents
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Details pertaining to any current orders in place.
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Please follow the link below to complete an Additional Child form.
For each additional child, please revisit the link to complete a new form.
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