Foster Parent Incentive Program

Please use this form to record that the child in foster care has completed their necessary health assessments. EOCCO will send the foster parent a $75 Amazon.com Gift Card for completing all necessary health assessments within 60 days of foster care placement.

Subscriber ID (also known as ID number) is on your child's EOCCO member ID card.

Child's Age*

Please indicate the age category your child falls into.

What doctor did your child see?

What dentist did your child see?

What health professional did your child see?

How would you like to receive your gift card?*

Gift cards would be emailed from Amazon.com

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