Please list any allergies, diagnosis, or medications so we can get you the necessary additional paperwork. Please type "no" if you acknowledge this does not apply to your child.This child has medications or medical conditons which may require management during the time of the program.
If you are utilizing CCAP, you must have a current authorization and your authorization must be assigned to YPLC(provider #1615625). Your child will not be able to attend until this is completed.