5 Early Childhood Pre-K Health Record Supplement 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the child's name and date of birth at the top of the form. This information is essential for identifying the child.
3. In the 'Type Screening' section, check all applicable screenings such as Head Circumference, Hgb/Hct, Lead, and BMI. Ensure you select the appropriate developmental screening tool used.
4. Fill in the 'Date Completed' field with the date when the screenings were performed, formatted as mm/dd/yyyy.
5. For 'Results', mark whether each screening result is Normal or Abnormal. If any results are marked Abnormal, provide detailed recommendations in the 'Recommendations/Follow up' section.
6. Complete sections on medical conditions and special care plans as necessary. Indicate if there are any allergies, medications, or special diets prescribed by a physician.
7. Finally, ensure that both parent/guardian and physician signatures are obtained along with their respective dates to validate the document.

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