Well chidl exam 2026

1. Click ‘Get Form’ to open the well child exam document in the editor.
2. Begin by entering the child's name and selecting their gender (circle MALE or FEMALE) along with their date of birth.
3. Fill in the parent's name and emergency phone number for contact purposes.
4. List any medications required at school, and indicate if there are any allergy triggers or asthma conditions present.
5. Complete the EPSDT exam results section by filling in height, weight, vision, hearing, and other relevant health metrics as indicated.
6. For the physical examination/assessment section, mark 'Normal for Age' or 'Abnormal' for each component based on the child's evaluation.
7. Attach an up-to-date and signed record of immunization as required by Head Start Federal Regulations.
8. Finally, ensure that a licensed medical professional signs off on the form and includes their printed name and telephone number before submitting.

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