@irisnicole8405 This is a hard no for me. My kiddo has severe, life threatening allergies and I give all sitters a little educational how to use epi lesson. In a life threatening emergency (which she has had while at sitters) the sitter calls 911, they stabilize her and you make it to hospital to take over from there.
My sitters have my number, my husband's number, my work number, husband's work number, my work email, and her pediatricians number.
None of my sitters have, or have ever requested, a form like this. She 100% is planning on taking your kiddo to the doctor herself. You need new childcare friend.