Head Start Physical Exam Form - PocatelloChubbuck Head Start 2026

1. Click ‘Get Form’ to open the Head Start Physical Exam Form in the editor.
2. Begin by entering the child's name, sex, and birth date in the designated fields at the top of the form.
3. Fill in the actual date of the exam and the doctor's phone number. Ensure that you print the doctor's name clearly as it is required.
4. Review each health assessment section, marking 'Normal' or 'Abnormal' as appropriate. Provide comments for any abnormalities noted.
5. Indicate whether the child is current on required immunizations and list any vaccinations given during this visit.
6. Answer questions regarding medications and allergies, ensuring to provide additional comments if necessary.
7. Finally, ensure that both the doctor’s signature and actual date of exam are included before submitting.

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