Does Anyone Have Health Assessment Form For PA License Application?

[Baan Dek Lek]

I just want to bring to my doctor when I get a result for my routine exam. So I can use it to apply for family daycare home. Right now I don't have application package yet, still have to call DPW.
Thanks

[Michael]

Is this what you are looking for? http://www.dpw.state.pa.us/ucmprd/gr...m/s_001756.pdf

[Baan Dek Lek]

Thanks, but it was not the one.

I meant the form for myself, for staff.

[Michael]

Try this one!