45 Day Screening Parent Notice |
Health |
To notify parents regarding different types of screening the child will be tested on. |
Child Accident Report Form / Forma Para Reportar Accidentes del Niños |
Health |
Complete when child gets hurt in classroom or playground |
Child Health History/ Historia del Desarrollo de Salud del Niño |
Health |
Health form in Enrollment Packet |
CHILDPLUS Monitoring Form |
Health |
1/3 Sheet for Tracking Health Services |
Consent for Blood Lead Screen |
Health |
Form Parent Must Sign to Allow DACHS to performt a Lead Test on Child |
Contagious Illness at Head Start Center / Enfermedades Contagiosas a Centro de Head Start |
Health |
Informs Parents of a Contagious Illness at a Head Start Center |
Daily Safe Environments |
Health |
Monitoring Checklist |
Daily Sensory Health Check |
Health |
Monitoring Checklist |
Declination Statement for Health Services/ Declaracion de Declinacion Para services de salud |
Health |
Parents complete if children do not have a physical and/or dental exam |
Dental Exam- Medical Exam Reminder/ Examen Dentista- examen Fisico Recordatorio |
Health |
Letter to parents |
DACHS-Dental-form-2024 |
Health |
To be completed by dentist |
Diet Plan for Meals at Child Care |
Health |
To be completed by Dr. |
EHS-Daily Sensory Health Check |
Health |
Monitoring Checklist |
EHS&HB Health Screening ENGL-SPAN 2019 |
Health |
45 day Screening Form |
Follow Up to Dental Exam Form |
Health |
To be completed by Dr |
Follow Up to Physical Exam Form |
Health |
To be completed by Dr. |
Health Box Inventory |
Health |
Health Supplies provided to the Direct Service Staff at the start of the year |
Health Monitoring Tool for Beginning of School Year |
Health |
Monitoring form |
Health Services Objectives / Objectivos de Servicos de Salud |
Health |
Goals of the Health content area |
Healthy Habits for Happy Smiles |
Health |
|
Hearing Vision Screening |
Health |
45 day completed mandate screening |
Height/ Weight Growth Chart Summary Form |
Health |
45 day form used by FOW's |
HS Oral and Health Form |
Health |
Head Start Oral Health Form |
Immunization Reminder for Parents |
Health |
Reminder for Parents that Child Needs Immunizations |
Individual Health Care Plan- IHCP |
Health |
Complete this form with parent, FOW, teacher & Specialist |
Lead Risk Questionnaire / Questionario Sobre Los Riesgos del Plomo |
Health |
Form for parents to fill out in Enrollment Packet |
Medically Fragile Release (4) |
Health |
To be completed by Dr. complete with signature and date |
Medication Monitoring Form (3) |
Health |
To monitor childs reaction to RX |
Monthly First Aid Inventory |
Health |
Monitoring form for First Aid Kit supplies. To be filled out monthly and submitted to the Health Specialist for review & replenishing supplies. Can also be submitted when items are needed during the month |
Newborn Visit |
Health |
Information and tips for Early Head Start staff |
No Live Lice Policy / Poliza Contra Los Piojos Vivos |
Health |
Parent Notice |
Head Lice Treatment / Tratamiento para Piojos en la Cabeza |
Health |
Head Lice Treatment |
Parent/ Guardian Permission to Reveal or Obtain Confidential Information/ Permiso Para Dar u Obtener Informacion Confidencial |
Health |
Parent Notice |
Parent/ Guardian Written Consent for Medication Administration (2) / Consentimiento to Escrito Para Padres/ Guardianes Para La Administracion de Medicamientos |
Health |
Form for parent to give staff permission to administer RX |
Parent Notice of Height/ Weight Form/ Noticia Para Padres de Statura y Peso |
Health |
Height and Weight to give parents a choice of services |
Permission to Release Dental and Physical Exam Form / Consentimiento para Exámenes Dentales y Físicos |
Health |
Form for parents to sign in Enrollment Packet |
Physical Exam form 2021 |
Health |
To be completed by Dr. |
Physician's Orders for Prescribed Medicines/Other (1) / Orden para el Médico por Medicinas/Otro(1) |
Health |
To be completed by Dr. to administer RX and accompanied by the Medically Fragile Release(4) with Dr. signature & date” |
Reminder and Release Form for Blood Lead Screen Test and Hemoglobin/Hematocrit Test |
Health |
Reminder/Release for Blood Lead Screen Test and Hemoglobin/Hematocrit Test |
Schedule for Cleaning, Sanitizing, and Disinfecting |
Health |
To meet Federal and Licensing Standards |
Toilet Training Calendar/ Calendario de Entrenamiento Del Baño |
Health |
Assist parent w/toilet training process |
Toilet Training Letter to Parents/ Carta Para Padres/ Toilet Training Plan/ Plan de Entrenamiento / Parents Toilet Training Agreement/ Contracto de Entrenamiento Para Los Padres |
Health |
Assist parent w/toilet training process |
Vaccine Requirements |
Health |
State of New Mexico Vaccine Requirements |