WebbHead Start Center:_____ Child’s Name:_____Birthdate:_____ Social Security Number:_____Sex: M ___ F ___ WebbEarly Head Start (EHS) is a no-cost early education program for infants, toddlers, and pregnant women. Portage Learning Centers serves EHS children and families in a home-based program. In addition, a center-based program is also provided to EHS children in our Kent location. 84 children and pregnant women are served in Early Head Start.
Office of Early Childhood and Literacy Education / Early Childhood …
WebbOhio Department of Health • School and Adolescent Health Immunization Report Student’s name Sex Date of birth Male Female / / Students are required to be immunized in accordance with Ohio law (Ohio Revised Code 3313.67/3313.671). A copy of the child’s immunization record may be attached or dates may be entered below. WebbHEAD START: CHILD HEALTH RECORD: EPSDT / SCREENINGS / PHYSICAL EXAMINATION / ASSESSMENT 0-5 HEAD START EPSDT / SCREENINGS / … goalie catch ball
Eligibility and Enrollment Akron Summit Community Action, Inc.
Webbhead start physical exam (to be completed by provider) physical exam. performed today (please check one. 3 yr 4 yr 5 yr. child’s name date of birth center. health care provider … WebbHead Start Physical Form Head Start Dental Form Things to Bring to the Appointment Please check your email for a confirmation of your application submission. Your … WebbPREPARTICIPATION PHYSICAL EVALUATION – Ohio High School Athletic Association – 2024-2024 . ATHLETES WITH DISABILITIES FORM: SUPPLEMENT TO THE … bonded honeycomb repair