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Health (H-02)

Back to Policy and Procedure Manuals

Appendix Health

H-02-101 Daily Record Keeping 2026 -2027 (docx)Download

H-02-102 Admissions and Exclusions Policy 2026-2027 (docx)Download

H-02-103 Health Plan Policy 2026-2027 (docx)Download

H-02-104 Medication Policy 2026-2027 (docx)Download

H-02-105 Hand Washing Policy 2026-2027 (docx)Download

H-02-106 Food Handling and Feeding Policy 2026-2027 (docx)Download

H-02-107 Toothbrushing Policy 2026-2027 (docx)Download

H-02-108 Hearing Screening Policy 2026-2027 (docx)Download

H-02-109 Vision Screening Policy 2026-2027 (docx)Download

H-02-110 Health Services and Tracking Policy 2026-2027 (docx)Download

H-02-111 Lice Procedures 2026-2027 (docx)Download

H-02-112 Diapering and Pull Up Policy 2026-2027 (docx)Download

H-02-113 Shaken Baby Syndrome 2026-2027 (docx)Download

H-02-114 Pet Policy 2026-2027 (docx)Download

H-02-115 Plant Policy 2026-2027 (docx)Download

Appendix Health

H-A1 Required Postings (docx)Download

H-A2 Daily Health Checklist (doc)Download

H-A3 Diapering and Pull Ups Log (docx)Download

H-B1 Communicable Disease Tracking Log (docx)Download

H-B2 Exposure Notices (docx)Download

H-C1 Immunization Waiver (doc)Download

H-C2 Lead Testing Letter (docx)Download

H-C3 Child Health Assessment Form for under 2 month of age and 30 months (docx)Download

H-C4 Health Record 2 - 6 month (docx)Download

H-C5 Health Record 7 - 12 months (docx)Download

H-C6 Health Record 13 months - 30 months (docx)Download

H-C7 Health Record 3 years - 5 years (docx)Download

H-C8 Dental Examination Report (docx)Download

H-C9 EHS Prenatal Health Assessment (doc)Download

H-C10 Pregnant Mother Dental Examination Report (docx)Download

H-C11 60 Day Letter (docx)Download

H-C12 30 Day Letter (docx)Download

H-C13 Notification Letter of unvaccinated child (docx)Download

H-C14 Child's Health History (docx)Download

H-C15 Child Nutritional Patterns (docx)Download

H-C16 EHS Center Based Child Based History (docx)Download

H-C17 Health Release (docx)Download

H-D1 Authorization for Medication Form (docx)Download

H-D2 Medication Log (docx)Download

H-D3 Daily Log of Pill Capsule Administration (docx)Download

H-D4 Medication Incident Report (docx)Download

H-D5 Medication Log and Daily Exchange of Medicaiton (docx)Download

H-F1 Classroom Nutritional Survey (docx)Download

H-F2 Food Recall Parent Letter (doc)Download

H-F3 Adult Meal Count (doc)Download

H-F4 Infant Toddler Food Plan (docx)Download

H-F5 EHS Nutritional Assessment (docx)Download

H-G1 Tooth Brushing Protocol (docx)Download

H-H1 Hearing Screening Letter (docx)Download

H-H2 OAE Refusal (docx)Download

H-I1 Vision Screening Letter (docx)Download

H-I3 OAE & SPOT Refusal to reattempt (docx)Download

H-I4 SPOT Refusal (docx)Download

H-J1 Asthma Special Care Plan (docx)Download

H-J2 Allergy Care Plan Non Food Allergy (docx)Download

H-J3 Care Plan for Children With Special Health Needs (docx)Download

H-J4 Growth Chart (docx)Download

H-K1 Head Lice Notification (docx)Download

H-K2 Removing Nits (docx)Download

H-K3 Lice Procedure - Parent Legal Guardian Letter 2026-2027 update (doc)Download

H-K4 Lice Treatment Verication Form (docx)Download

H-N1 Pet Consent Form (docx)Download

H-O1 Even Plants Can Be Poisonous (docx)Download

Medical Plan of Care for CACFP Rev April2026_final (docx)Download

Nutrition Learning Experience (doc)Download

Seizure Action Plan (pdf)Download

Air Quality 11 x 17 (docx)Download

AIG Personal Accident Claim Form (pdf)Download

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