Download:

Asthma Packet

Authorization for Exchange of Health Information - Kaiser

Authorization for Exchange of Health Information - UCD

Authorization for Medication Form

Community Resources

Declaration of Residence

Dental Form

Exit Survey Form

Food Allergy Packet

Health Infomation Packet - English

Health Infomation Packet - Spanish

Heart History

In-Kind Home Activity Form

Informal Complaint Form

Lactose Intolerance History

Other Child Care Form

Physical Examination Form with Hi Doctor Letter

Program Request Form

Seizure 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

Verification of Incapacity

Verification of Training

Computer Fillable Forms

Child TB Risk Assessment

Emergency Card

Facing the Facts - Child Abuse

Hemoglobin Risk Assessment

Hemoglobin Risk Assessment - Spanish

Lead Poisoning Prevention Questionnaire - English

Lead Poisoning Prevention Questionnaire - Spanish

Parent Consent and Notification Form

Parents Rights

Personal Rights

Preschool Health and Development History

Special Concern Form