If your child has special needs, licensing rules require a written health care plan on file.
Care plan: It should include information about your child's needs, their diagnosis, any regular medications, and what to do in an emergency.
Plan: This plan can come from you or your child's medical provider.
Medical history: Share more information about chronic health conditions, allergies or intolerances and the other conditions the form lists.
Medications: List medications your child takes regularly and medications your child needs to take for emergency care.
Hospital: Enter Preferred Hospital to Transport to in Case of Emergency.
| Question | Answer |
|---|---|
| Form Name | Form SFN 847 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 35 |
| Avg. time to fill out | 6 min |
| Edition | 5-2026 |
| Issuing agency | Department of Health and Human Services Early Childhood |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | SFN 847, SFN847, ND SFN 847, North Dakota SFN 847, Parent's Statement on Health of Child |
| Official source | Form SFN 847 (Rev 5-2026), North Dakota Department of Health and Human Services |
Sfn 847 Form isn’t the one you’re looking for?