Forms, Procedures & Resource Library Child Health Categories ASQs Child Health Health and Development Hearing and Vision Nutrition and Food Service Referral and Release Forms Special Care Plans and Medicine Child Mental Health Classroom Safety and Equipment Education and Child Development ERSEA Family and Community Engagement Program Management Professional Development Annual Training Coaching Orientation Health & Development EHS Health and Screening Schedule Daily Health Check Health History Birth-5 EHS Health History Prenatal Heights and Weights Immunization Form Physical Well Child Exam Form Hearing & Vision EHS Hearing Screening Form EHS Hearing Screening Protocol OAE 6 months-3 years HS Hearing Screening Protocol Puretone 3-5 EHS 18 Key Vision Milestones Screening Form EHS Vision Screening Protocol (18 Milestones/SPOT Birth-3) HS Vision Screening Protocol (HOTV Chart 3-5) HS Hearing and Vision Screening Worksheet Nutrition & Food Service Food Temperature Log CACFP Enrollment Form Dietary Preference – Optional Milk Substitution List Monthly B Meal Snack Count and Attendance Record Monthly L Meal Snack Count and Attendance Record Monthly Snack Count and Attendance Record Nutritionist Report Refrigeration Temperature Log Special Diet Statement Referral & Release Forms Apple Tree Dental Permission Form Caring Hands Dental Permission Form CDS Permission Form Referral Form Refusal of Head Start Services Release of Information Special Care Plans & Medicine Child Allergy Information Form Allergies List Allergies Cover Sheet Asthma Action Plan Food Allergy & Anaphylaxis Emergency Care Plan Medication Log Medication Consent Form Seizure Action Plan Back to All Procedures Page