HEALTH

	Quick Links to Sections on this Page:
	Classroom Health Routines Health Enrollment — General Health Enrollment — Well Child Child Health Plans Health & Growth Screenings Medications — General Communicable Diseases & Health Notices Pregnancy & Postpartum Dental Animals in the Early Learning Environment

Classroom Health Routines
Guidelines & Procedures			Forms
Classroom Health Routines NEW 5/15/2019 "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 Sunscreen Application Record Form - Bulk Sunscreen Authorization Form - Bulk Container Revised 5/22/2019 Sunscreen Authorization Form - Individual Container
Health Enrollment — General
Guidelines & Procedures			Forms
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			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
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 Lead Letter to Providers Declining Early Learning Health Services Revised 5/14/2019 Well Child Exam Tool			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

Child Health Plans
Guidelines & Procedures			Forms
Child Health Plans Procedure Revised 5/15/2019 Child Supplemental Food Plan Procedure Revised 4/30/2019 Diabetes Management in the Classroom			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
Health & Growth Screenings
Guidelines & Procedures			Forms
Preschool Height and Weight Screenings Procedure Revised 5/22/2019 Vision and Hearing Screenings Procedure NEW 5/22/2019 Epi Info Instructions (ECEAP only) Spring Growth Results Form Revised 5/20/2019			Preschool Health Screening Results Form Revised 5/22/2019 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 Vision Summary (0-12 months) Revised 5/15/2019 18 Vision Development Milestones from Birth to Baby's First Birthday NEW 5/15/2019
Also see the SCREENING & ASSESSMENT page
Medications — General
Guidelines & Procedures			Forms
Medication Administration Procedure Revised 5/15/2019			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
Communicable Diseases & Health Notices
Guidelines & Procedures			Forms
Exposure to Communicable Diseases Procedure Revised 5/15/2019			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			Pregnancy Health History Maternal Depression Screening: English Spanish Two-Week Postpartum and Newborn Visit Summary
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 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
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

HEALTH

** Also see the "Child Enrollment" section on the EDUCATION - OVERVIEW page **

** Also see the "Enrollment" section on the ERSEA page **

** Also see the SCREENING & ASSESSMENT page **

** Also see the "Exposure Notices to Families" sectionon the HEALTH, NUTRITION & SAFETY RESOURCES page for notices on all communicable diseases. **

Also see the "Child Enrollment" section on the EDUCATION - OVERVIEW page

Also see the "Enrollment" section on the ERSEA page

Also see the SCREENING & ASSESSMENT page

Also see the "Exposure Notices to Families" section
on the HEALTH, NUTRITION & SAFETY RESOURCES page for notices on all communicable diseases.