Resource Parent Forms (CA)
MCFS Monthly Forms:
- Care and Maintenance Logs (pdf)
- Track how much is spent monthly on EACH foster child placed in the home
- Tracks height/ weight
- Tracks date of last clothing inventory (which must be updated every 4 months)
- Informs Social Workers and Records Manager if a child was taken to the doctor (A Physician’s Visit form but be filled out and returned to Records Manager ASAP)
- Allows Social Workers and Records Manager if anew medication was prescribed or an old one was destroyed (Both require medication logs to be filled out and turned in)
- Daily Medication Logs (pdf)
- List prescription medications administered to child
- Psychotropic medications must be logged on separate sheets than other prescriptions
- Centrally Stored Medication Log (pdf)
- All Prescription medications must be logged on this form
- Psychotropic medications must be logged on separate sheets than other prescriptions
- PRN Medication Log (pdf)
- All over the counter medications (Tylenol, Melatonin, etc.) must be logged on this form, signed, and turned in
Quarterly Forms:
- Clothing Inventories
- Must be completed when receiving a new placement and every 4 months
Every 6 months – 1 year
- Dental exam (pdf)
- Must be completed within 30 days of a new placement and every 6 months following
- Well- Child (CHDP) exam (pdf)
- Must be completed within 30 days of a new placement and every 6 months following

Mountain Circle Family Services is a non-profit community based organization committed to ensuring stability and life sustaining changes for foster and adoptive children.