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Florida CF-FSP 5073 Physician's Report on Child

Florida adoption records include a physician's report on the child being placed. On this one-page DCF form the doctor marks each body system normal or describes abnormalities, notes other significant findings and recommendations, past illnesses and surgery, and evaluates physical and mental development. A syphilis test, or the mother's test at delivery, is recorded, with other labs if indicated.

Who completes it

The examining physician completes and signs the whole form, including how long the child has been under their care and how often they have seen the child.

Submitting and payment

How to submit it
Mail the completed report to the adoption agency or DCF office written at the top of the form.
Who pays
The form sets no fee and does not say who pays for the examination.

Good to know

  • A blood test for syphilis is the only lab listed without an 'if indicated' qualifier, and the mother's test at delivery can be recorded instead.
  • Urine, blood count, vaginal smear, tuberculin and X-ray results are entered only if indicated, each with a date and result.
  • The child's family, social and medical background is recorded separately on CF-FSP 5074, Family, Social and Medical Information About Child to Be Adopted.
  • Release of health information to prospective foster or adoptive parents uses CF-FSP 5230. The physician's report is dated PDF 10/2005.

Get the official form

Download the current version from the source each time; forms change without notice.

Physician's Report on Child (Child Placed for Adoption)

Official pagePDF

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

What labs does Florida's CF-FSP 5073 ask for?

A blood test for syphilis, or the test done on the mother at delivery, with date and result. Urine, blood count, vaginal smear, tuberculin test and X-ray are listed as 'if indicated', so they are recorded only when the physician orders them.

Who completes the Physician's Report on Child?

The physician who examined the child. They check each body system as normal or describe abnormalities, record significant findings, recommendations, prior illnesses or surgery and their evaluation of physical and mental development, then date, sign and print their name and address.