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NEW EARLY/HEAD START MEDICAL CARE REPORT CONFIDENTIAL INFORMATION (Note: After your physician completes this form, please return to the form to Patricia Charity in order for the confidential information
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01
Gather all required documents for the earlyhead start medical application.
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Visit the nearest earlyhead start medical center or clinic.
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Request an earlyhead start medical application form from the staff.
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Carefully read and fill out the application form, providing accurate information.
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Who needs new earlyhead start medical?

01
Individuals who are eligible for earlyhead start services.
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Young children who come from low-income families.
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Parents or caregivers who want to ensure their children receive proper medical care.
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New early head start medical refers to the updated medical forms and requirements for children enrolled in the early head start program.
Parents or guardians of children enrolled in the early head start program are required to file the new earlyhead start medical forms.
The new earlyhead start medical forms can be filled out by providing the necessary medical information and signatures required by the program.
The purpose of the new earlyhead start medical forms is to ensure that children in the early head start program receive proper medical care and attention.
The new earlyhead start medical forms must include information about the child's medical history, immunizations, and any current health conditions.
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