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
Family Worksheet
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
Family Partnership Worksheet
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