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HEALTH

 

   Quick Links to Sections on this Page:  
 

 

 Classroom Health Routines

     
 Guidelines & Procedures      Forms  
 Hand Washing Procedure
 Tooth Brushing Procedure
 Diaper Changing Procedure
 Stand-Up Diapering Procedure
 Diaper Rash/Candidiasis Guidance
 Toileting Procedure
 Head Lice Procedure
 Safe Bottle Handling and Preparation Procedure
 Sunscreeen and Sun Protection Procedure
 "Block the Sun, Not the Fun" Flyer: English   Spanish   Arabic   Vietnamese

 
   Daily Activity Chart for Infants and Toddlers
 The Nit-Picking - Who Does What Work Chart
 Exposure Notice to Families - Head Lice
 Sunscreen Application Record Form - Bulk
 Sunscreen Authorization Form - Bulk Container
 Sunscreen Authorization Form - Individual Container  Revised 11/5/2018

 Health Enrollment — General

     
 Guidelines & Procedures      Forms  

 Immunization Requirements Procedure
 Authorization to Release Confidential Health Information Procedure
 Food Allergies/Intolerance/Special Dietary Needs Procedure   Revised 11/5/2018
 Dietary Accommodations and Food Preferences Flow Chart
 Health/Nutrition Enrollment Flowchart

   Health History (1-5 Years)
 Health History Tool (1-5 Years) 
 Health History (0-12 months)
 Health History Tool (0-12 months)
 Certificate of Immunization Status (CIS) Form:   English   Spanish
 Certificate of Exemption (COE) Form:   English   Spanish
 Authorization to Release and Exchange Confidential Health Information
 Authorization to Release Immunization Records:  English  Spanish
 Emergency Treatment and Consent Form   English   Revised 10/1/2018
** Also see the "Child Enrollment" section on the EDUCATION - OVERVIEW page **
** Also see the "Enrollment" section on the ERSEA page **

 Health Enrollment — Well Child

     
 Guidelines & Procedures      Forms  

 When I Give Consent, It Means I Agree
 Physical and Dental Exams Procedure
 Susceptible List Procedure
 Lead Letter to Providers
 Declining Early Learning Health Services
 Well Child Exam Tool  NEW 10/12/2018

   Susceptible List (Exempt Children) Form
 Susceptible List (Need Follow-Up) Form
 Lead / Hematocrit / Hemoglobin Fax Cover Sheet
 Medical/Dental Exam Letter
 

 Child Health Plans

     
 Guidelines & Procedures      Forms  
 Child Health Plans Procedure
 Child Supplemental Food Plan Procedure
 Diabetes Management in the Classroom
 
  Health Related:
 Child Health Plan and Provider Orders — Respiratory Disorder
 Child Health Plan and Provider Orders — Seizure Disorder
 Child Health Plan and Provider Orders — Skin Condition
 Child Health Plan and Provider Orders — Non-Food Allergies
 Child Health Plan and Provider Orders — Reflux Infants and Toddlers 
 Child Health Plan and Provider Orders — Other Health Conditions


Nutrition Related:
 Child Health Plan and Provider Orders — Dietary Accommodations - Food Allergies/Intolerances
 Child Supplemental Food Plan
 Parent/Guardian Request for Milk Substitute
 

 Vision & Hearing

     
 Guidelines & Procedures      Forms  

 Vision and Hearing Screening Procedure (0-3 Years) Revised 9/19/2018
 Preschool Vision Screening Procedure
 Preschool OAE Hearing Screening Procedure
 
Preschool Audiometer Hearing Screening Procedure

   Preschool Health Screening Results Form
 Vision Screening Parent Interview (0-3 Years) Part 1 of 3  Revised 8/2018
 Key Vision Development Milestones (0-3 Years) Part 2 of 3  Revised 8/18/2018
 Vision Summary (0-3 Years) Part 3 of 3  Revised 8/2018
 Vision Screening Referral Letter (3-5 Years)
 OAE Hearing Screening Form:  English  Spanish
 Hearing Screening Referral Letter
 Diagnostic Follow-up Form
 Vision (Spot) and Hearing (OAE) Results Form

** Also see the SCREENING & ASSESSMENT page **

 Medications — General

     
Guidelines & Procedures      Forms  

 Medication Administration Procedure

 
   Medication Administration Parent Letter Form
 Parent/Guardian Authorization for Medication Administration at School and Medication Administration Record Form
 Medication Administration Error Record
 Provider Orders for Over the Counter Medication at School Form
 Provider Orders for Medication at School Form — Supplemental

 

 Communicable Diseases & Health Notices

     
Guidelines & Procedures     Forms  

 Exposure to Communicable Diseases Procedure
 Important Notices to Families Procedure

     None  
** Also see the "Exposure Notices to Families" section
on the HEALTH, NUTRITION & SAFETY RESOURCES page for notices on all communicable diseases. **

 Pregnancy & Postpartum

     
      Forms  
 Maternal Depression Screening Procedure
 Pregnancy/Postpartum Services Checklist  Revised 8/2018
   Pregnancy Health History
 
Maternal Depression Screening:   English   Spanish
 Two-Week Postpartum and Newborn Visit Summary   NEW 8/2018

 

 Dental

     
Guidelines & Procedures     Forms  
 Dental Intervention Procedure
 Dentist and Hygienist Classroom Screening Procedure


 
   Dental Examination Report
 Dental Screening Consent Form - SeaMar Community Health:   English   Spanish
 Dental Screening Evaluation Form - SeaMar Community Health:   English   Spanish
 Dental Screening Consent Form - Community Health Center:   English   Spanish
 Dental Screening Evaluation Form - Community Health Center:   English   Spanish
 Community Medical/Dental Resources Parent Notices - Multiple Languages  Revised 11/5/2018

 Animals in the Early Learning Environment

     
Guidelines & Procedures     Forms  
 Animals in the Early Learning Environment Procedure
 
   Parent Consent for Animal(s) in the Early Learning Environment
 Parent Notification for Service Animal(s) in the Early Learning Environment