HEALTH INDEX


DATE 

_____________________ PHOTO COPY OF IMMUNIZATION RECORD

_____________________ COPY OF MEDICAL CARD

_____________________ CONSENTS, AUTHORIZATIONS & RELEASES 
                                           CONSENT FOR EMERGENCY TREATMENT
                                           CHILD HEALTH CARE INFORMATION

_____________________FORM 1, GENERAL INFORMATION

_____________________ FORM 2 A, 2B,   HEALTH INFORMATION

_____________________ FORM 3 SCREENINGS, PHYSICAL EXAMINATION 

_____________________ FORM H-8 VISION & HEARING 

_____________________ FORM 5, DENTAL HEALTH

______________________FORM 6, NUTRITION 

______________________GROWTH CHARTS (FOR BOY OR GIRL )

______________________HEIGHT AND WEIGHTGRAPH 

______________________BMI GRAPH

_____________________  PERMISSION TO ADMINISTER MEDICINE

_____________________  ACCOMODATION PLAN

_____________________  ACCIDENT REPORT                                




                                                                                                                                                        
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______  SIGN IN SHEET

______  APPLICATION 

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