Lice Check Form - sdsummercamp 2026

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  1. Click ‘Get Form’ to open the Lice Check Form in the editor.
  2. Begin by entering the camper names in the designated fields. Ensure each name is clearly written for accurate record-keeping.
  3. For each camper, check the box labeled 'Lice Free' to confirm that they have been examined and found free of lice. Repeat this for all listed campers.
  4. At the bottom of the form, have a qualified person (teacher, nurse, etc.) sign their name to certify that all children listed are lice-free. This signature is crucial for compliance.
  5. If you need additional space for more names, duplicate the form as needed or utilize the back of the document.

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The CDPH states that its parents responsibility to regularly check their children for lice. If you do spot lice, follow treatment instructions carefully. For more guidance about how to check for lice or how to treat them, consult your childs pediatrician or dermatologist.
Look for lice crawling on the scalp where the hair is parted or on the hair shaft. The lice will be dark in color and the size of a poppyseed. Look for nits near hair follicle about inch from scalp. Nits (eggs) will be white or yellowish-brown.
A MinuteClinic provider can diagnose lice by looking for the insects or their eggs in the hair or on the skin. Theyll use a bright light with a dark-colored comb. In some cases, wetting the hair makes it easier to spot the lice.

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