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Forms, Procedures & Resource Library

Child Health

Categories

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    • Health and Development
    • Hearing and Vision
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Document & Resource List

EHS Hearing Screening Protocol OAE 6 months-3 years

HS Hearing Screening Protocol Puretone 3-5

EHS Hearing Screening Form

Child Allergy Information Form

EHS Health and Screening Schedule

Food Temperature Log

CDS Permission Form

Dietary Preference – Optional

Refrigeration Temperature Log

EHS Health History Prenatal

Daily Health Check

Referral Form

Release of Information

Special Diet Statement

Seizure Action Plan

Refusal of Head Start Services

Physical Well Child Exam Form

Nutritionist Report

Milk Substitution List

Medication Log

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WCMCA Head Start

411 Industrial Park Boulevard
Elbow Lake, MN 56531 [map]

Phone: (218) 685-4486
Toll-Free: (800) 492-4805

Copyright © 2025 - West Central MN Communities Action Head Start

 Privacy Policy  ·  Terms and Conditions  · A WISH Design Co. Website

Copyright © 2025 - West Central MN Communities Action Head Start

 Privacy Policy  ·  Terms and Conditions
A WISH Design Co. Website