Head Start/Early Head Start Forms
Forms for Parents
Head Start Asthma Action Plan
Head Start Diabetes Medical Management Plan
Head Start Seizure Action Plan
Head Start Emergency Action Plan: Serious Allergy
Head Start Individualized Health Care Plan
Head Start Physical Examination
Head Start Child Health Record: Dental Health
Anemia & Lead Screening Consent
Anemia & Lead Screening Consent-Spanish
Forms for Staff
First-Aid Checklist
Daily/Health Safety Checklist
Parent Guardian Consent to Exchange Information
Daily Child Well Checks
Decline of Services
Dental Emergency Plan
Dental Exam
Consent for Anemia Screen
Consent for Lead Screen
Health and Developmental Initial Follow-Up Plan
Health and Developmental Follow-Up Notes
Immunization Notice Form
2010 Recommended Immunization Schedule
2010 Immunization Catch Up Schedule
Incident/Illness Report
Authorization for Dispensing Medication
Medicaid Request Documentation
Medical Emergency Plan
Monthly Emergency Update
Medication Error Report
Medication Error Report Follow-Up
Head Lice Packet
Physical Exam
Hearing Questionnaire
Vision Questionnaire
Vision & Hearing Screener Report
EHS Otoacoustic Emissions Screening Results
3 Year Old Vision and Hearing Screener Report
Referral Form
Lead Questionnaire
TB Questionnaire
Diaper Changing Policy
