HEALTH

Physical Forms and Letters to Physicians
Periodicity Schedule
File Size: 215 kb
File Type: pdf
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Physical Form 1 to 12 months
File Size: 232 kb
File Type: pub
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Physical Form 15 Months through 4 Years
File Size: 212 kb
File Type: pub
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Head Start Program Physical Screening
File Size: 261 kb
File Type: pub
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WCC Signature Form
File Size: 90 kb
File Type: pub
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Medical Fax Cover Sheet
File Size: 151 kb
File Type: pub
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Physical Exam/Assess Form Letter phy 1
File Size: 1445 kb
File Type: rtf
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Physical Exam/Assess Form Letter - phy 2
File Size: 1447 kb
File Type: rtf
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Physical Exam/Assess Form Letter - phy 3
File Size: 1445 kb
File Type: rtf
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Medical Follow Up and Referral
Authorization Memo Medical Referral
File Size: 35 kb
File Type: doc
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Head Start Medical Follow-Up
File Size: 8 kb
File Type: doc
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Periodicity Chart and MCIR/SIRS Packet
Periodicity Chart
File Size: 134 kb
File Type: pdf
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MCIR Packet
File Size: 1099 kb
File Type: pdf
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Hearing and Vision Screening
Hearing Guidance
File Size: 15 kb
File Type: docx
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Vision Guidance
File Size: 16 kb
File Type: docx
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Hearing Screening Fact Sheet
File Size: 264 kb
File Type: pdf
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Vision Screening Fact Sheet
File Size: 562 kb
File Type: pdf
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Hearing & Vision Initial Screening Form
File Size: 31 kb
File Type: docx
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Hearing Rescreen Form
File Size: 35 kb
File Type: docx
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Vision Rescreen Form
File Size: 32 kb
File Type: docx
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Hearing & Vision Follow-Up Letter
File Size: 1448 kb
File Type: rtf
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Dental
Dental Exam
File Size: 219 kb
File Type: pub
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Brush Up on Oral Health
File Size: 261 kb
File Type: pdf
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Waivers and Contraindication Forms
Medical Contraindication 20-21
File Size: 225 kb
File Type: pdf
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Medical contraindication Spanish 2020
File Size: 178 kb
File Type: pdf
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Immunization Waiver Form
File Size: 70 kb
File Type: pdf
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Immunization Waiver- Sp
File Size: 34 kb
File Type: pdf
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EHS Health Waiver
File Size: 38 kb
File Type: doc
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