Wisconsin Child Care Intake Form for Under 2 Years
The Wisconsin Child Care Intake Form for children under 2 years helps caregivers individualize child care programs. It collects health, feeding, sleep, and other essential information. This form is mandatory for family child care centers and voluntary for group child care centers.
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How do I fill this out?
To fill out this form, start by providing your child's personal details such as name, nickname, and birthdate. Ensure to accurately fill in the health, meals, sleep, diapering, verbal communication, and other required sections. Regular updates should be noted, and if additional space is needed, attach a separate sheet.

How to fill out the Wisconsin Child Care Intake Form for Under 2 Years?
1
Provide your child's personal details including name and birthdate.
2
Fill in health and dietary information accurately.
3
Complete the sections on sleep, diapering, and verbal communication.
4
Update regularly and attach extra sheets for additional space.
5
Ensure the form is kept in the room where care is provided.
Who needs the Wisconsin Child Care Intake Form for Under 2 Years?
1
Family child care centers need this form to comply with Wisconsin regulations.
2
Group child care centers may use this form to meet state requirements.
3
Parents of children under 2 years need this form to provide necessary child care information.
4
Child care workers use this form to individualize care programs for each child.
5
Healthcare providers may refer to this form for health-related child care details.
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1
Open the PDF form on PrintFriendly.
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Use the PDF editor to fill out the required sections.
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Add updates or additional information as needed.
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Save the edited PDF form.
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Download the updated form for your records.

What are the instructions for submitting this form?
To submit this form, fill it out completely, including all required sections. You can submit the form via email, fax, or online submission to the Wisconsin Department of Health and Family Services. Ensure the form is kept in the room where care is provided. Regularly update the form and attach additional sheets if necessary. Always keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
Ensure to review and update the form regularly. Key dates include the child's first day of attendance and any significant updates related to health or care routines. Keep the form current and accurate for effective child care.

What is the purpose of this form?
The purpose of the Wisconsin Child Care Intake Form is to collect comprehensive information about children under 2 years to help caregivers provide tailored and effective care. By compiling personal details, health information, feeding schedules, sleep patterns, and other essential data, the form ensures that child care workers are well-informed about each child's unique needs. This enables caregivers to create individualized care plans that promote the well-being and development of each child. Additionally, the form serves as a communication tool between parents and caregivers, facilitating transparent and consistent information flow.

Tell me about this form and its components and fields line-by-line.

- 1. First Day of Attendance: The first day the child attends the child care center.
- 2. Child's Personal Details: Includes the child's name, nickname, and birthdate.
- 3. Parent's Details: Includes the names, telephone number, and address of the parent(s).
- 4. Health Information: Details about the child's health conditions and history.
- 5. Meal Information: Includes the child's feeding schedule, types of food, and any allergies.
- 6. Sleep Information: Details about the child's sleep schedule, positions, and favorite toys.
- 7. Diapering/Toileting Information: Information on diapering habits, toilet training, and related products.
- 8. Verbal Communication: Details on the child's language and speaking habits.
- 9. Comforting Information: Methods used to comfort the child and preferences during fussy times.
- 10. Self-Expression: Information on what makes the child angry, frightened, and happy.
- 11. Physical and Social Development: Details about the child's physical abilities and interactions with playmates.
- 12. Favorite Toys and Activities: Child's preferred toys and activities, both indoor and outdoor.
What happens if I fail to submit this form?
Failure to submit this form may result in noncompliance with state regulations.
- Compliance Issues: You may receive a noncompliance statement from the regulatory authority.
- Inadequate Child Care: Lack of detailed information may affect the quality of care provided to the child.
- Health Risks: Not sharing health information can pose risks to the child's well-being.
How do I know when to use this form?

- 1. Initial Enrollment: Used when a child first attends a child care center.
- 2. Health Updates: Used to provide updates on a child's health and care needs.
- 3. Feeding Changes: Used to inform about changes in the child's feeding schedule or food preferences.
- 4. Sleep Routine Updates: Used to communicate changes in the child's sleep schedule or habits.
- 5. Diapering/Toileting Updates: Used to update the child's diapering or toilet training progress.
Frequently Asked Questions
How can I fill out the Wisconsin Child Care Intake Form?
You can fill out the form using our PDF editor on PrintFriendly, providing accurate and detailed information in each section.
Can I update the form regularly?
Yes, you can use the PDF editor to make regular updates to the form as necessary.
How do I save the edited form?
Use the save option in the PDF editor after making your changes, and then download the updated form.
Is it possible to share the form?
Yes, once you've filled out and saved the form, you can share it via email or other methods.
Can I add additional sheets if needed?
Yes, you can attach extra sheets to the form if additional space is needed.
Do I need to sign the form?
Yes, you can add your digital signature using our PDF editor and save the signed form.
What sections should I complete on the form?
Complete all sections relevant to your child's care, including personal details, health, meals, sleep, diapering, and verbal communication.
Is the form mandatory for family child care centers?
Yes, the form is mandatory for family child care centers to comply with Wisconsin regulations.
Can group child care centers use this form?
Yes, group child care centers can use this form to meet specific state requirements.
How do I know if my form is up-to-date?
Regularly review and update the form, noting any changes directly on the form or attaching additional sheets.
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