Iowa requires prospective foster (resource) family members to show they are physically and mentally able to care for children before the home is licensed. The recruitment and retention contractor sends this form to the family's practitioner, who states whether the family's health would keep them from providing the needed care or would be detrimental to a child placed with them.
The examining physician or other practitioner completes Section B. The contractor completes Section A, addressed to the practitioner, and the family completes the health history in Section C and signs the release (a parent signs for a minor child).
Download the current version from the source each time; forms change without notice.
Health Report for Resource Families
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From the family or the recruitment and retention contractor handling their licensing. Iowa HHS staff print it from the employees' manual or internal SharePoint; it is not posted as a standalone public download. The contractor fills in Section A before it reaches the practitioner.
Whether the family's health would prevent them from providing the care a foster child needs, or would be detrimental to the well-being of a child placed in their care. The practitioner records this in Section B, alongside the family's reported health history in Section C.