State of Michigan Child Health Appraisal Licensing Forms and Requirements
Forms
Food Allergy Action Plan
Health Appraisal
IMAP (Individual Medical Action Plan)
Medication Permission and Instructions
Child Care Licensing Rules regarding Immunizations and Health Appraisals
R 400.8143 Children’s records.
Immunizations
(3) For children under school-age, at the time of a child's initial attendance, a center shall obtain, keep on file, and make accessible in the center one of the following:
- (a) A certificate of immunization showing a minimum of one dose of each immunizing agent specified by the department of health and human services (DHHS).
- (b) A copy of a waiver addressed to DHHS and signed by the parent stating immunizations are not being administered due to religious, medical, or other reasons.
Health Appraisals
(6) Within 30 days of a child’s initial attendance, a center shall obtain, keep on file, and make accessible in the center a record of a physical evaluation of the child that notes any restrictions and is signed by a physician or the physician’s designee. An electronic record from a physician’s office will be accepted. The physical evaluation must be performed within one of the following time limits:
- (a) For an infant*, within the preceding 3 months.
- (b) For toddlers**, within the preceding 6 months.
- (c) For preschoolers***, within the preceding 12 months.
(7) Physical evaluations must be updated as follows:
- (a) Yearly for infants and toddlers
- (b) Every 2 years for preschoolers.
Notes
- * infant- birth until 1 year of age
- **toddler- 1 year of age until 30 months of age
- ***preschooler- 30 months of age until eligible to attend a grade of kindergarten or higher
Resources
Department of Licensing and Regulatory Affairs
Child Care Licensing Bureau
Licensing Child Care Centers Rules
Need additional help?
Email CFC-CATeam@umich.edu