Get Head Start Physical Form

Filling out the Head Start Physical Form online is a crucial step in ensuring your child's readiness for enrollment in the Head Start program. This guide provides clear and supportive instructions to help you navigate each section of the form with confidence.

Follow the steps to complete the Head Start Physical Form effectively.

1. Press the ‘Get Form’ button to access the Head Start Physical Form and open it in your preferred digital editor.
2. Begin by entering the child's name, sex, and birth date at the top of the form. Ensure this information is accurate as it will be used throughout the application process.
3. Next, fill in the Head Start Center's address and contact information. Be sure to include the phone number and fax number to ensure efficient communication.
4. In the compliance section, check off the appropriate boxes. Each box must be completed to confirm the child’s eligibility regarding participation, health status, immunizations, and any special health care needs.
5. Proceed to the physical exam and screenings section. Enter dates and results for height, weight, blood pressure, hematocrit and hemoglobin levels, lead screening, vision, hearing, and any other relevant assessments.
6. Complete the developmental/behavioral assessment area by indicating the scores and any concerns. Be specific and transparent to provide a clear picture of the child's health and development.
7. Fill out the physical exam/assessment part by evaluating the child's general appearance, posture, speech, heart health, and other specified criteria. Mark each evaluation as normal, abnormal, or not evaluated.
8. Add any anticipatory guidance, referrals, or allergies in the provided sections to ensure comprehensive care.
9. Finally, ensure the health care provider's signature and date are included at the end of the form, along with their stamp, if applicable.
10. Once all sections are complete, take a moment to review the form for any errors. After verification, you can save your changes, download, print, or share the completed form.

Start filling out the Head Start Physical Form online today for a smoother enrollment process.