My Ouch Report - Step By Step Child Care
My Ouch Report
Date: ______________ Time: ______________
Dear Parent,
This is to report that ________________________________ got hurt today.
Injury Details: ____________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Treatment: _______________________________________________________________
_________________________________________________________________________
Please sign and return this notice. Thank You.
Parent’s Signature ________________________________________________________
Caregiver’s Signature______________________________________________________
My Ouch Report
Date: ______________ Time: ______________
Dear Parent,
This is to report that ________________________________ got hurt today.
Injury Details: ____________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Treatment: _______________________________________________________________
_________________________________________________________________________
This Notice is for you to keep.
Caregiver’s Signature________________________________________________
................
................
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