Get the free Healthy Start Parent/Child Form May 2024
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Healthy Start Parent/Child Form | May 2024 OMB Control No. 09150338, Expiration Date 09/30/2026INFORMATION IN THIS GRAY BOX IS FOR GRANTEE USE ONLY DO NOT UPLOAD Name of Participant/Other Adult: ___DOB:___Name
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How to fill out healthy start parentchild form
How to fill out healthy start parentchild form
01
Obtain a copy of the healthy start parentchild form from the relevant authority or website.
02
Fill out all the required fields with accurate information.
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04
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Submit the form according to the instructions provided.
Who needs healthy start parentchild form?
01
Parents or legal guardians of a child who is eligible for the healthy start program.
02
Families with young children who may be in need of assistance with nutrition and other health-related services.
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What is healthy start parentchild form?
Healthy Start Parent/Child forms are used to assess the health and development of children from birth through age five.
Who is required to file healthy start parentchild form?
Parents or legal guardians are required to fill out and file the Healthy Start Parent/Child form for their children.
How to fill out healthy start parentchild form?
The form can be filled out online or in person at a local health department or clinic. It requires information about the child's health, development, and any services they may need.
What is the purpose of healthy start parentchild form?
The purpose of the Healthy Start Parent/Child form is to identify any health or development concerns in young children and connect families with appropriate services and support.
What information must be reported on healthy start parentchild form?
Information such as the child's birth history, health issues, developmental milestones, and any services or supports the child may need must be reported on the form.
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