Your Child's Place
Forms and Resource Center

Your Child Place Service Forms

Cover Letter and Acknowledgement for Active Children Privacy Notice

Cover Letter and Acknowledgement for Active Children Privacy Notice

Child Health Report

Child Health Report

Your Child's Place Privacy Notice

Your Child's Place Privacy Notice

Treatment Policy 2017

Treatment Policy 2017

Emergency Contact Parental Consent Form 2017

Emergency Contact Parental Consent Form 2017

Medication Policy 2017

Medication Policy 2017

Special Diet 2017

Special Diet 2017

Ready to Get Started?

Who Belongs at

Your Child’s Place?

Our extended care center is open to children who:

Are at least 6 weeks of age with complex medical needs
Qualify for in-home nursing services
Have a short-term need for outpatient rehabilitation or nursing care
Have long-term medical needs including those who are ventilator-dependent
Have either recently undergone surgery or need short-term care in a supervised environment until they recover