NYS OCFS Child in Medical Care Statement$27.00PricePlease enter child's name and birthdate. (You must purchase separate forms for each child.)*0/50Quantity*Add to CartDescriptionThis form is for most daycares and preschools. Purchase a separate form for each child. Your completed forms will be emailed to you directly from Flatiron Pediatrics’ encrypted email addresses in 5 to 7 business days.