Table of Content
Authorization
Nutrition
- CHS-1 Request for a Special Diet (English)
- CHS-1 Request for a Special Diet (Spanish)
- CACFP Enrollment Form
Disabilities
- Disability Checklist (2023-2024)
- CHS-2 Intervention Packet
- Individual Teacher Response Form
- Consent For Disclosure of Confidential Information to ECI and ISD
- Authorization for Speech and Medical Form
- Easterseals Referral Form
- Easterseals Referral Form – Home Visiting
- ECI Referral Form
Health
- Head Start Health Requirement Checklist
- Health Information Authorization and Confirmation
- Health History
- Form 5, Dental Health
- Form 6, Nutrition
- Lead Risk Questionnaire (English)
- Lead Risk Questionnaire (Spanish)
- Tuberculosis Questionnaire (English)
- Tuberculosis Questionnaire (Spanish)
- Care Plan for Children With Special Health Needs
- Dispensing Medication Permission Form
Mental Health
Physical Forms
- Discharge to 5 Day Checkup – Child Health Record
- 2 Week Checkup – Child Health Record
- 2 Month Checkup – Child Health Record
- 4 Month Checkup – Child Health Record
- 6 Month Checkup – Child Health Record
- 9 Month Checkup – Child Health Record
- 12 Month Checkup – Child Health Record
- 15 Month Checkup – Child Health Record
- 18 Month Checkup – Child Health Record
- 24 Month Checkup – Child Health Record
- 30 Month Checkup – Child Health Record
- 3 Year Checkup – Child Health Record
- 4 Year Checkup – Child Health Record
Transportation
- Transportation Reports Schedule Deadline
- Daily Sign In-Out Log
- Bus Monthly Inventory Checklist
- Cost Analysis
- Presenter Agenda
- Daily Vehicle Log
- Daily Vehicle Operation Report
- Daily-Weekly Bus Roster
- Transporation Services Checklist
- Safety Practices
- Notice to Parents
- Transporation Control Summary
- Daily Vehicle Log
