HEALTH

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

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 Revised 11/21/2018			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

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.