Get Physical Exam/ppd Results Form - Holy Cross Head Start

Filling out the Physical Exam/PPD Results Form for Holy Cross Head Start is an essential step to ensure the health and safety of children in care. This guide provides detailed instructions on how to complete the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant's name and date of birth in the designated fields. Ensure that the information is accurate, as it will be used for identification purposes.
3. In the medical condition section, the health care provider must indicate whether the applicant is physically fit to provide child day care by selecting 'YES' or 'NO' for the physical fitness, communicable disease, and emotional or psychological condition questions.
4. If any 'NO' responses were selected, the provider must specify the restrictions in the space provided.
5. Have the health care provider sign the form, ensuring that their name is printed clearly, along with their title and phone number. Dates must also be filled in correctly; ensure to use the mm/dd/yyyy format.
6. On the reverse side of the form, the provider must complete the Tuberculin test information including the test read date and the Mantoux result. If applicable, include the reason for not being tested.
7. If the Mantoux test result is positive, indicate whether the applicant poses a risk to children's health and safety. Ensure that the health professional signs and completes their information at the bottom of the page.
8. Finally, review the entire form for accuracy before saving changes, downloading, printing, or sharing it as required.

Complete the Physical Exam/PPD Results Form online today to ensure timely processing.