HEALTH

 

   Quick Links to Sections on this Page:  
 

 

 Classroom Health Routines

     
 Guidelines & Procedures      Forms  
 Classroom Health Routines 
 "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 
 Sunscreen Authorization Form - Individual Container

 Health Enrollment — General

     
 Guidelines & Procedures      Forms  

 Immunization Requirements Procedure  Updated 6/1/2020 
 Authorization to Release Confidential Health Information Procedure
 Food Allergies/Intolerance/Special Dietary Needs Procedure
 Dietary Accommodations and Food Preferences Flowchart 
 Health/Nutrition Enrollment Flowchart

   Health History (0-5 Years)  Updated 6/1/2020
 Health History Tool (0-5 Years)   Updated 6/1/2020
 Certificate of Immunization Status (CIS) Form:   English  DOH Revised 11/2019
 Certificate of Exemption (COE) Form:   English  DOH Revised 10/2019
 Authorization to Release and Exchange Confidential Health Information
 Authorization to Release Immunization Records:  English  Spanish
 Emergency Treatment and Consent Form   Updated 6/1/2020 
** 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 
 Well Child Exam Tool

   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  Updated 6/1/2020
 Child Supplemental Food Plan Procedure  Updated 6/1/2020
 Diabetes Management in the Classroom  Updated 6/1/2020
 
  Health Related:
 Child Health Plan and Provider Orders — Respiratory Disorder 
 Child Health Plan and Provider Orders — Seizure Disorder  Updated 6/1/2020
 Child Health Plan and Provider Orders — Skin Condition 
 Child Health Plan and Provider Orders — Non-Food Allergies  Updated 6/1/2020
 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   Updated 6/1/2020 
 Child Supplemental Food Plan  Updated 6/1/2020
 Parent/Guardian Request for Milk Substitute  
 

 Health & Growth Screenings

     
 Guidelines & Procedures      Forms  

 Preschool Height and Weight Screenings Procedure 
 Vision and Hearing Screenings Procedure 
 Instructions for 45-Day Screening Results - HS & ECEAP 
 
Instructions for 45-Day Screening Results - EHS  
 
Growth Assessment Procedure (0-3 years) 

   Health and Developmental Screening Results Form - HS & ECEAP 
 
Health and Developmental Screening Results Form - EHS  

 Vision Screening Referral Letter (3-5 Years)
 Hearing Screening Referral Letter 
 Diagnostic Follow-up Form
 Vision Summary (0-12 months) 
 18 Vision Development Milestones from Birth to Baby's First Birthday 
Spring Growth Results Form


** Also see the SCREENING & ASSESSMENT page **

 Medications — General

     
Guidelines & Procedures      Forms  

 Medication Administration Procedure  Updated 6/12/2020

 
 

 Medication Administration Parent Letter 
 Authorization and Record for Medication Administration at School  Updated 6/12/2020
 Medication Administration Error Record   Updated 6/12/2020
 Provider Orders for Over the Counter Medication at School  Updated 6/12/2020
 Over the Counter Non-Medical Items   New 6/12/2020
 Provider Orders for Medication at School Form — Supplemental  Updated 6/12/2020

 

 Communicable Diseases & Health Notices

     
Guidelines & Procedures     Forms  

 Exposure to Communicable Diseases Procedure  
 

 
 

 EXPOSURE NOTICES COVER SHEET - Important Notices to Families Cover Sheet
 ("This is an important notice. Please have it translated.")

Cambodian Korean Punjabi Russian Somali Spanish Vietnamese


 EXPOSURE NOTICES TO FAMILIES

 Bacterial Meningitis: English Arabic Russian Somali Spanish Vietnamese
 Chicken Pox: English Arabic Russian Somali Spanish Vietnamese
 Cold Sores/Fever Blisters: English Arabic Russian Somali Spanish Vietnamese
 Conjunctivitis (Pink Eye): English Arabic Russian Somali Spanish Vietnamese
 Cytomegalovirus (CMV): English Arabic Russian Somali Spanish Vietnamese
 Diarrheal Illness/
 Stomach Flu:
English Arabic Russian Somali Spanish Vietnamese
 Fifth Disease
 (Erythema Infectiosum):
English Arabic Russian Somali Spanish Vietnamese
 Hand, Foot, and
 Mouth Disease:
English Arabic Russian Somali Spanish Vietnamese
 Head Lice: English Arabic  Russian  Somali  Spanish  Vietnamese
 Impetigo: English Arabic Russian Somali Spanish Vietnamese
 Influenza: English Arabic Russian Somali Spanish Vietnamese
 Molluscum Contagiosum: English Arabic Russian Somali Spanish Vietnamese
 Mononucleosis: English Arabic Russian Somali Spanish Vietnamese
 MRSA
 (Methicillin-Resistant
 Staphyloccus Aureus):
English Arabic Russian Somali Spanish Vietnamese
 Pinworms: English Arabic Russian Somali Spanish Vietnamese
 Reyes Syndrome following
 Chicken Pox or Influenza:
English Arabic Russian Somali Spanish Vietnamese
 Ringworm: English Arabic Russian Somali Spanish Vietnamese
 Scabies: English Arabic Russian Somali Spanish Vietnamese
 Scarlet Fever: English Arabic Russian Somali Spanish Vietnamese
 Strep Throat: English Arabic Russian Somali Spanish Vietnamese
 Whooping Cough/Pertussis: English Arabic Russian Somali Spanish Vietnamese

 

 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   
 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