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In case of emergency, ensure your private caregiver knows who to contact if you are not available and can seek medical treatment for your child. This PDF includes a general medical release and areas to fill our your child's insurance, important medical information and emergency contact information.  It is written in such a way that it can be used for nannies, newborn care specialists, doulas or any other person providing childcare.


*This PDF is for your use only. No part of this publication may be reproduced, distributed copied, or shared in any form other than for personal use without the prior written permission of Nanny Consults. 

**Nanny Consults is is not an attorney and is not a substitute for advice from an attorney.

Medical Release and Emergency Contact Form

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