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Classroom Health Routines Revised 8/20/2019
"Block the Sun, Not the Fun" Flyer: English Spanish Arabic Vietnamese
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Daily Activity Chart for Infants and Toddlers
The Nit-Picking - Who Does What Work Chart
Sunscreen Application Record Form - Bulk
Sunscreen Authorization Form - Bulk Container Revised 5/22/2019
Sunscreen Authorization Form - Individual Container
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| Guidelines & Procedures |
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Immunization Requirements Procedure Revised 5/22/2019
Authorization to Release Confidential Health Information Procedure
Food Allergies/Intolerance/Special Dietary Needs Procedure Revised 4/30/2019
Dietary Accommodations and Food Preferences Flowchart Revised 6/10/2019
Health/Nutrition Enrollment Flowchart
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Health History (1-5 Years) Revised 5/14/2019
Health History Tool (1-5 Years) Revised 5/14/2019
Health History (0-12 months) Revised 5/14/2019
Health History Tool (0-12 months) Revised 5/14/2019
Certificate of Immunization Status (CIS) Form: English Revised 5/22/2019
Certificate of Exemption (COE) Form: English Revised 6/13/2019
Authorization to Release and Exchange Confidential Health Information
Authorization to Release Immunization Records: English Spanish
Emergency Treatment and Consent Form English Revised 4/1/2019
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** Also see the "Child Enrollment" section on the EDUCATION - OVERVIEW page **
** Also see the "Enrollment" section on the ERSEA page **
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| Guidelines & Procedures |
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When I Give Consent, It Means I Agree
Physical and Dental Exams Procedure Revised 8/20/2019
Lead Letter to Providers
Declining Early Learning Health Services Revised 5/14/2019
Well Child Exam Tool
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Susceptible List (Exempt Children) Form Revised 5/22/2019
Susceptible List (Need Follow-Up) Form Revised 5/22/2019
Lead / Hematocrit / Hemoglobin Fax Cover Sheet
Medical/Dental Exam Letter
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Child Health Plans Procedure Revised 5/15/2019
Child Supplemental Food Plan Procedure Revised 4/30/2019
Diabetes Management in the Classroom
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Health Related:
Child Health Plan and Provider Orders — Respiratory Disorder Revised 5/14/2019
Child Health Plan and Provider Orders — Seizure Disorder Revised 5/14/2019
Child Health Plan and Provider Orders — Skin Condition Revised 5/14/2019
Child Health Plan and Provider Orders — Non-Food Allergies Revised 5/14/2019
Child Health Plan and Provider Orders — Reflux Infants and Toddlers Revised 5/14/2019
Child Health Plan and Provider Orders — Other Health Conditions Revised 5/14/2019
Nutrition Related:
Child Health Plan and Provider Orders — Dietary Accommodations - Food Allergies/Intolerances Revised 5/14/2019
Child Supplemental Food Plan Revised 4/30/2019
Parent/Guardian Request for Milk Substitute Revised 4/30/2019
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| Guidelines & Procedures |
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Preschool Height and Weight Screenings Procedure Revised 8/21/2019
Vision and Hearing Screenings Procedure Revised7/31/2019
Instructions for 45-Day Screening Results - HS & ECEAP NEW 7/31/2019
Instructions for 45-Day Screening Results - EHS NEW 7/31/2019
Growth Assessment Procedure (0-3 years) NEW 8/21/2019
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Health and Developmental Screening Results Form - HS & ECEAP NEW 7/31/2019
Health and Developmental Screening Results Form - EHS NEW 7/31/2019
Vision Screening Referral Letter (3-5 Years)
Hearing Screening Referral Letter NEW 8/20/2019
Diagnostic Follow-up Form
Vision Summary (0-12 months) Revised 5/15/2019
18 Vision Development Milestones from Birth to Baby's First Birthday NEW 5/15/2019
Spring Growth Results Form Revised 5/20/2019
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Medication Administration Procedure Revised 5/15/2019
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Medication Administration Parent Letter Form Revised 5/15/2019
Parent/Guardian Authorization for Medication Administration at School and Medication Administration Record Form Revised 5/15/2019
Medication Administration Error Record
Provider Orders for Over the Counter Medication at School Form Revised 5/15/2019
Provider Orders for Medication at School Form — Supplemental Revised 5/15/2019
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Exposure to Communicable Diseases Procedure Revised 5/15/2019
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EXPOSURE NOTICES COVER SHEET - Important Notices to Families Cover Sheet
("This is an important notice. Please have it translated.")
EXPOSURE NOTICES TO FAMILIES
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Maternal Depression Screening Procedure
Pregnancy/Postpartum Services Checklist
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Pregnancy Health History
Maternal Depression Screening: English Spanish
Two-Week Postpartum and Newborn Visit Summary
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| Guidelines & Procedures |
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Dental Intervention Procedure
Dentist and Hygienist Classroom Screening Procedure Revised 7/31/2019
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Dental Examination Report
Dental Screening Consent Form - SeaMar Community Health:
English Spanish Revised 6/20/2019
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
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| Guidelines & Procedures |
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Animals in the Early Learning Environment Procedure
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Parent Consent for Animal(s) in the Early Learning Environment
Parent Notification for Service Animal(s) in the Early Learning Environment
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