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Care plan documents

  • Print out the appropriate Care Plan Packet

    If a child in your program has a health condition or behavioral health need, print out the appropriate Care Plan Packet below. If a family has provided a care plan signed by a licensed healthcare provider, skip to Step 3. Note: If you use one of the packets below, you do not need a separate Medication Authorization Form.

  • Complete the care plan packet

    Have a licensed healthcare provider and parent or guardian complete the care plan packet and return it to your program.

  • Print out the appropriate checklist

    All items in the checklist are required for a care plan to be compliant with Washington Administrative Code (WAC).

  • Review the checklist for completion

    Use the checklist to review the care plan and make sure all items are complete. If all items are complete, stop here.

  • What to do if a checklist is incomplete

    If you cannot complete the checklist, the care plan is missing information. You will need to do one of the following:

    • Return the care plan to the healthcare provider or family to complete the missing information.
    • Print the pages you need from the Care Plan Packet listed in Step 1. Give them to the healthcare provider or family to be completed.
  • Ensure that items are complete

    Use the checklist to review the care plan and make sure all items are complete.

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