Table of Content
Nutrition
CHS-1 Request for a Special Diet (English)
CHS-1 Request for a Special Diet (Spanish)
Disabilities
CHS-3 Authorization to Release ECI and ISD
Individual Teacher Response Form
Heath Record Booklet
Completed Health Record Booklet (All Forms)
Form 1 – General Information
Form 2A – Health History
Form 2B – Health History
Form 3 – Physical Examination Assessment
Form 5 – Dental Health
Form 6 – Nutrition
Form 9 – Psychological and Social Development
Form 10 – Staff Observation of Health and Behavior
Mental Health