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Sick / Ouch Form
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Child's Sick/Ouch Form



I Felt Sick Today....



I feel really sick_____

I feel a little sick_____

I was sick, but I feel a little better____

I feel much better______

Did I take any medicine? ______________________

Worth noting: __________________________________

____________________________________________

_____________________________________________

Date:_______________________________________

___________________



I got hurt today....

What happened? Was another child/children involved?

_____________________________________

_____________________________________

_____________________________________

_____________________________________



How did I handle it?

____________________________________

____________________________________

____________________________________



What was done for me?

__________________________________________________________________________________________________________________________



Do I need to see a doctor?

__________________________________________________________________________________________________________________________



Anything else?

______________________________________________________________________________________________________________________________________________________________________________________



Date:________________________________







DAHDAH Daycare

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