Forms/Information
Health Procedure Agreement
Health History Form
Health Provider/Parent Notice
Medical Exam Report
(physical)
Notice of Health Requirements
Screening Schedule Information
Vision Screening Results
Elks Vision Assessment
Blood Pressure Screening Results
Audio Screening Results
Speech and Language Screening
Parental Immunization Personal Beliefs Affidavit
Parental Refusal of Authorization for Health Services
Smile Keepers
Smile Keepers Consent Form
Medical Form
Fluoride Varnish Fact Sheet
Head Start Dental Screening Form
(1304.20c)
Statement of Concern
Special Education Referrals
Screening & Assessment Process Flow Chart
Edited 08/13/2008 10:16:22 AM
