Get Form No 604 554 2

This guide provides clear, step-by-step instructions on how to accurately fill out the Form No 604 554 2 online, which is essential for ensuring proper enrollment in educational and health programs for children. By following these instructions, users can efficiently complete the form without confusion.

Follow the steps to fill out the Form No 604 554 2 online.

1. Click the 'Get Form' button to access the document and open it in your preferred online editor.
2. Begin with the section for the child's name. Input the last name, first name, and middle initial accurately to ensure proper identification.
3. Fill in the child’s sex as either ‘M’ for male or ‘F’ for female.
4. Enter the child’s date of birth in the specified format to verify age eligibility.
5. Provide the full name of the parent or guardian responsible for the child. It is crucial for contact and records.
6. Mention the delegate agency name or site associated with the program.
7. The next section is to be completed by a qualified health care provider. Make sure their name, type of practice, signature, and telephone number are included.
8. Document the date of the physical exam and address of the health care provider.
9. Record examination results, including height, weight, and any observations regarding the child’s health such as blood pressure and results from vision and hearing tests.
10. Completing the assessments for normal or abnormal findings under various health categories is essential for comprehensive reporting.
11. Input additional details such as treatment recommendations and any significant findings that may need follow-up.
12. For Head Start staff, ensure to add the signatures and dates of both staff members completing the reviews.
13. Finally, notate any follow-up referrals, and sign off on the form to confirm receipt and review.
14. Once all entries are complete, save your changes, download, print, or share the form as needed.

Complete your Form No 604 554 2 online today for streamlined processing!