Health Forms


Health Service Plan 16-17


Authorization to Receive Non Medical Substance
Authorization to Receive Vitamins – Spanish
Child Incident-Injury Report
Emergency Health Plan for Children
Emergency Health Plan(Staff) Part 1 and 2
Employee Vaccination Declination Form
Employee Health Examination Form
Employees Referral for Vaccines Form
Health Laboratory Services
Health Statement for Participation in Program
Health Supply request form
Individualized Health Plan
Infant Toddler Health Tracking
Initial Hearing Screening (Sweep Check)
Medical letter.hays.caldwell
Medication Authorization Form
Minor Accident or Biting Report
Monthly First Aid Supply Checklist
Permission to Exchange Confidential Information Cheat Sheet Reminders Permission to Exchange Information Cheat Sheet Reminders Spanish
Refusal of Medical-Dental Services
Vision Screen Form-EHS
Vitamin Dispense Form


Administering Medication Procedures
Bloodborne Pathogen Plan
Dental Emergency First Aid Procedures
Diaper Changing Chart
Diapering Procedures
Exclusion for Illness Procedures
Gloving Procedures
Handwashing Chart Staff
Handwashing Procedures During Outdoor Activities
Handwashing Procedures
Head Lice
Head Start Preparedness Plan.
Health Representative Duties – Spanish
Health Representative Duties
Health Requirement for Staff Procedure
Health Services Procedure for Children
Immunization Policy
Immunization Requirements For Children Procedure
Immunization Schedule – English
Immunization Schedule – Spanish
Incident Injury Report Procedures
Lead Screening Fact Sheet – Spanish
Lead Screening Fact Sheet
Instrutions for Completing Individualized Health Plan
Morning Health Check Procedure
Sanitation and Cleaning Procedures
Stand Up Diapering Procedure
Toileting Procedures
Toothbrushing and Oral Hygiene Procdures for Pregnant Women and Infants
Toothbrushing Procedures