I update my medical forms annually when I renew my contract. I may add a clause to my contract but it's going to be simple (like the rest of my contract) and it's simply going to be a few sentences that state that the utmost care and attention will be given to each child every day and an email or phone call will be made to the parents if any small injury occurs. But I don't have any forms or paperwork with the parents except for my daily log book which is just for me, not for the parents. I give them a verbal update daily, including if their child fell down outside, etc. I still stand by what I said on page 1 of this thread. The parents trust me completely to care for their children every day and this is just included in all of that trust.