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HEAD START PHYSICAL EXAMINATION Child's Name Birth Date Parents/Guardians Address I authorize the provider listed below to release this form to the GB Head Start. (*Parent/Guardian Signature & Date*)
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How to fill out head start physical examination

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How to Fill Out Head Start Physical Examination:

01
Obtain the necessary forms: Start by obtaining the head start physical examination forms from your child's school or program. These forms will typically include a medical history questionnaire and a physical examination form.
02
Fill out the medical history questionnaire: Begin by filling out the medical history questionnaire portion of the form. This will require you to provide detailed information about your child's past medical conditions, allergies, medications, and any previous surgeries or hospitalizations.
03
Schedule an appointment with a healthcare provider: Once the medical history questionnaire is complete, schedule an appointment with your child's healthcare provider. It can be either a pediatrician, family doctor, or a certified nurse practitioner who can perform the physical examination.
04
Attend the physical examination appointment: On the scheduled date, take your child to the healthcare provider for the physical examination. Bring the completed medical history questionnaire and physical examination form with you to the appointment.
05
Conduct the physical examination: The healthcare provider will conduct a comprehensive physical examination of your child, which may include checking vital signs, examining the eyes, ears, nose, and throat, assessing the heart and lungs, examining the musculoskeletal system, and checking for any other abnormalities.
06
Complete the physical examination form: As the healthcare provider completes the physical examination, they will fill out the physical examination form. They will record any findings and indicate whether your child meets the necessary health requirements for head start participation.
07
Submit the completed forms: Once the physical examination is complete and the form is filled out, submit the completed forms to the head start program or school. This may involve mailing the forms or submitting them in person, depending on the specific instructions provided by the program.

Who needs head start physical examination?

01
Children entering a head start program: Any child who is enrolling in a head start program, which is a federally funded early childhood education program, will typically require a head start physical examination. This examination ensures that the child is in good overall health and able to participate in the program.
02
Age and eligibility requirements: The specific age and eligibility requirements for a head start physical examination may vary depending on the program and location. Generally, children between the ages of three and five are eligible for head start programs.
03
Enrollment policies: It's important to check with your child's specific head start program or school to determine their enrollment policies and requirements for a physical examination. They will provide you with the necessary forms and details on how to complete and submit them.
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Head start physical examination is a medical evaluation conducted to assess the overall health and development of children before entering a Head Start program.
All children applying for enrollment in a Head Start program are required to have a physical examination on file.
Parents or guardians must take their child to a qualified healthcare provider who will conduct the physical examination and fill out the necessary forms.
The purpose of the examination is to ensure that children are healthy and ready to participate in the Head Start program, as well as to identify any health concerns that may need to be addressed.
The physical examination form typically includes information such as the child's medical history, current health status, immunization records, and any recommendations for follow-up care.
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