Forms, Procedures & Resource Library Child Health Categories ASQ-SE 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 EHS Prenatal Health History Daily Health Check Physical Well Child Examination Immunization Exemption Form Heights and Weights Child Health & Developmental History (Birth-5 years) Hearing & Vision EHS Hearing Screening Protocol OAE (6 months-3 years) Puretone Screening Protocol OAE Hearing Screening Form Hearing and Vision Screening Worksheet (3-5 years old) HOTV Vision Screening Protocol (3-5 years) EHS Vision Screening Protocol (18 Milestones/SPOT Birth-3) EHS 18 Key Vision Milestones Screening Form Nutrition & Food Service Food Temperature Guide Long Receipt Cover Sheet Tracking Meal Counts in ChildPlus Receipt Cover Sheet Food Temperature Log Dietary Preference Request Form Daily Refrigeration Temperature Log Special Diet Statement Nutritionist Report Fluid Milk Substitutions in the Child Nutrition Programs Referral & Release Forms CDS Permission Form Referral Form Authorization for Release of Information Refusal of Head Start Services Caring Hands Dental Permission Form Apple Tree Dental Permission Form Special Care Plans & Medicine Highlighted items must be completed by a medical provider Allergies-Intolerances-Special Diets Allergies and Special Diets Cover Sheet Asthma Action Plan Authorization to Administer Medication Child Allergy Information Form Food Allergy & Anaphylaxis Emergency Care Plan Medical Forms Cheat Sheet Medication Log Seizure Action Plan Special Care Plan Back to All Procedures Page