Early Childhood Parent Resources
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Frequently Used Forms
- Authorization for Exchange of Health Information - Kaiser
- Authorization for Exchange of Health Information - UCD
- Exit Survey Form
- In-Kind Home Activity Form
- Informal Complaint Form
- Other Child Care Form
- Program Request Form
- Verification of Incapacity
- Verification of Training
- Heart History
- Seizure History
- Declaration of Residence
- Authorization for Medication Form
- Lactose Intolerance History
- Self-Certification of Income
- Self-Certification of Income - Spanish
- Self-Declaration Form
- Self-Declaration Form - Spanish
- Verification of Employment Release - Hiram Johnson
- Verification of Employment Release - Serna
- Food Allergy Packet
- Child TB Risk Assessment
- Emergency Card
- Facing the Facts - Child Abuse
- Parents Rights
- Personal Rights
- Preschool Health and Development History
- Special Concern Form
- Parent Consent and Notification Form
- Physical Examination Form with Hi Doctor Letter
- Dental Form
- Lead Poisoning Prevention Questionnaire - English
- Lead Poisoning Prevention Questionnaire - Spanish
- Community Resources
- Health Infomation Packet - English
- Health Infomation Packet - Spanish
- Asthma Packet
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