Michigan Daycare Medical Clearance Form CCL-3704

What Form CCL-3704 Is and Why It Matters

Before MiLEAP will issue your home daycare license, you must submit a completed Medical Clearance Request (Form CCL-3704) signed by a licensed physician. This form certifies that you are physically and mentally capable of caring for children and free from communicable diseases.

Every staff member who works in your daycare must also have a completed CCL-3704 on file. No form, no license — and no new hire can begin caring for children without one.

What the Form Requires

Form CCL-3704 is a two-part document. You fill out the patient information section, then your physician completes the medical evaluation section.

The physician's portion attests to:

• Physical fitness — that you are physically able to perform the demands of caring for young children, including lifting, bending, and responding quickly in emergencies
• Mental fitness — that you do not have a condition that would impair your judgment or ability to supervise children safely
• Communicable disease status — that you are free from active communicable diseases that could be transmitted to children in a care setting

The form does not require specific medical tests beyond the physician's clinical assessment. Notably, the 2026 rule update eliminated the previously mandatory tuberculosis (TB) test — your physician does not need to order a TB skin test or blood test as part of the CCL-3704 process.

Who Needs a Medical Clearance

The licensee and child care staff members in your licensed home must have a completed CCL-3704:

• The licensee — you, as the license holder
• Child care staff members (age 16+) — anyone who cares for children, whether full-time, part-time, or substitute Household members who live in the home but do not participate in child care operations are not required to have a CCL-3704, though they must still pass the CCBC background check.

When to Schedule the Appointment

Complete your medical clearance early in the licensing process — ideally while you are working through background checks and training. The form must be in your personnel file before the licensing consultant conducts the on-site inspection.

Schedule a routine appointment with your primary care physician and bring the blank CCL-3704 form. Most physicians can complete the evaluation during a standard office visit. If your physician is unfamiliar with the form, explain that it is a state-required licensing document and point them to the physician attestation section.

Some providers run into delays when their physician's office has a long scheduling backlog. Do not leave this for the last week before your inspection.

Keeping the Form Current

The current administrative rules do not state a fixed renewal interval for CCL-3704. Keep the completed form in the personnel file for the duration of employment, and confirm with CCLB if an updated clearance is requested.

For staff members, complete the CCL-3704 as part of your onboarding process before they begin working with children. Retain the completed form in the individual's personnel file for the duration of employment and at least two years after they leave, per the condensed record-retention rules under R 400.1906.

One Less Barrier Than You Think

The medical clearance sounds intimidating, but it is one of the more straightforward licensing requirements — a single doctor visit with a one-page form. The Michigan Home Daycare Licensing Guide sequences the CCL-3704 into the right point in your licensing timeline so it is completed alongside your training and background checks, not as a last-minute scramble.

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