Sequatchie Valley Head Start - P 2026

1. Click ‘Get Form’ to open the Sequatchie Valley Head Start - P in the editor.
2. Begin by checking the appropriate payer source: TN Care, Other Insurance, or Head Start. This helps identify how the examination will be covered.
3. Fill in the child's name and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
4. Enter details about the center where the child is enrolled and provide parent/guardian contact information for follow-up.
5. Health care professionals should complete their section by filling in height, weight, blood lead screening results, and other relevant health metrics.
6. Check the appropriate boxes for each examination area (e.g., general appearance, vision) using 'N' for normal, 'A' for abnormal, and 'NE' for not examined.
7. Describe any abnormal findings and attach any screening tools used during the examination if applicable.
8. Finally, ensure that the health care professional's name is printed along with their signature and date of exam before saving or sharing your completed form.

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