PARENT HEALTH CONTRACT

Contract between HARCATUS Head Start and Parent/Guardian

As a part of the enrollment process, we the undersigned, agree to the following commitments regarding the child enrolled in the program:

Parent’s Responsibility:

  • I commit to having my child up-to-date on the schedule of immunizations, well child and dental exams and to follow up with the needed treatment.
  • I will bring in documentation that my child has had the required physical examination no later than 30days after school begins and dental examination documentation no later than 45days after school begins.
  • I will send my child to school daily when he/she is healthy enough to attend to ensure that the child has consistent opportunities to learn and grow.
  • I will ensure my child has adequate sleep and exercise to improve their ability to handle physical and emotional challenges.
  • I will encourage my child to eat a well balanced diet to ensure he/she receives all the nutrients they need for growth and development.
  • I will inform staff of changes in child’s health status.

Program Staff Responsibility:

  • We will maintain confidentiality regarding your child, you and your family.
  • We will assist you in locating a doctor and dentist.
  • We will connect you to other community resources as requested, such as food banks, clothing, and energy assistance.
  • We will communicate with you on regular basis about your child’s growth and development.
  • We will work with you to develop individual health care plans for a child with special needs.
  • We will complete health and developmental screening to assess the needs of your child and share the results with you.
  • We will track the individual health/development and dental needs of your child including all required follow ups, referral and/or treatment.
  • We will observe the health status of your child daily; notifying you with changes/concerns; contacting you when the child is ill.
  • We will inform you when your child has been exposed to a communicable disease.
  • We will practice/promote healthy habits on a daily basis during Head Start hours/activities.
  • We will maintain a safe and healthy classroom environment at all times.

Child’s NameDate of Birth

Parent’s/Guardian’s SignatureDate

Head Start Staff’s Signature Date

ECDHS401 Original: Child’s File Copy: Parent/Guardian 6/12