EHS FORM INDEX
REFERENCE
EHS Form Indexhs/ehs/admin/newindex
Child/Family Information Inventoryhs/ehs/CFII
EHS Fact Sheet hs/ehs/misc/EHS Fact Sheet
What’s Due When hs/admin/procedures manual/ehs/whats due when
Procedure for Maintaining Optimal Attendance hs/admin/procedure manual\ehs\ehs pro maint optim
Who Does/Gets What? hs/misc/susan/who does gets what
RECRUITMENT
Child Development Poverty Guidelines 2012 hs/admin/funded enrollment/cdpg 2012
Computation Of Family Incomehs/u/recruitment/R-65a
ChildPlus Data Entry Codes Intake/Apphs/u/recruitment/R-66
EHS Enrollment Priority Criteriahs/ehs/SS/SS-3
NMCAA Client Intake hs/u/recruitment/R-1
Directions to Homehs/u/recruitment/R-4
Child’s Health Historyhs/u/health/H-3
HS/Child Develop Immunization Recordhs/u/health/H-12
Sharing of Confidential Informationhs/u/health/H-9r
Immunization Waiver Formhs/u/health/H-71
Medical Contraindication Formhs/u/health/H-72R
Immunization Waiver Form- Spanish hs/u/health/H-71 spanish
Medical Contraindication Form- Spanishhs/u/health/H-72R spanish
Referral Formhs/u/recruitment/R-59
Income Eligibility Verification hs/u/recruit/Head Start Income Eligibility Verification
ENROLLMENT
Change of Statushs/U/SS/SS-4
Letter of Understandinghs/ehs/hv/ss-16
Letter of Understanding-Spanish hs/ehs/hv/ss-16 spanish
Child Abuse Reporting PolicyParent Handbook
Contacts, InKind, & Social Service Tracking hs/u/ss/tracking and inkind
EHS PAT Home Visit Plan hs/ehs/hv/ehshvpl3
Resource HV Plan hs/ehs/hv/resource hv plan
Family Plan hs/u/fp toolbox/family plan
Parent/Guardian Release hs/orientmail/release OM-7
Parent/Guardian Release- Spanish hs/orientmail/release OM-7 spanish
Getting to Know Your Child and Familyhs/u/education/E9
Home Safety Checklisths/u/education/E-2
Other Parent Addresshs/u/orntmail/OM-2
Partnering with Familieshs/u/ss/ partnering survey
Pedestrian Safety Training hs/training/Pedestian Safety Training
Pedestrian Safety Training- Spanish hs/training/Pedestian Safety Training spanish
Parental Consent for Screening hs/ehs/pi/parental consent
HEALTH
Physical Exam/Assess form Letter - phy1hs/ehs/health/phy1
Physical Exam/Assess form Letter - phy2hs/ehs/health/phy2
Physical Exam/Assess form Letter - phy3hs/ehs/health/phy3
Physical Examination Form –
Age One Month Thru 12 monthshs/ehs/health/ifl-12
Physical Examination Form –
Age 15 Months Through 4 yearshs/ehs/health/ecfl5-4
MCIR/SRS Packet
NMCAA HS Program Physical Form hs/health/H-4
Illness/Incident Reporths/u/health/H-18
Authorization Memo Medical Referralhs/u/healtlh/H-19
Head Start Medical Follow-Uphs/u/health/H-20
Handwashing hs/univer/tbp/handwashing rev612
Universal Precautions hs/u/tbp/H-115 a & b
Routine Emergency Healthcare Plan hs/u/health/H-66 a& b
Recommendation for Preventative
Pediatric Health Care (Periodicity Chart) hs/ehs/health/pmo_document147
NMCAA EHS Health Services Waiver hs/u/health/h-26ehs
EXPECTANT FAMILIES
EHS Pregnant Mom Activities & Inventoryhs/ehs/ehs expectant/CFIIpregnant
Home Visit Plan Expectant hs/ehs/ehs expectant/hv expectant
Resource Visit HV for Expectant Families hs/ehs/ehs expectant/resource hv expectant
EHS Health Screening & Follow up
Agreement for Pregnant Moms hs/ehs/ehs expectant/H-10pregnant
Prenatal Health Exam Form/Letter hs/ehs/ehs expectant/prenatal
Edinburgh Postnatal Depression Scalehs/ehs/ehs expectant/edinburgh scale
Pre/Post Natal Nutritional Assessment hs/ehs/pre post natal
2 Week Newborn Visit Form hs/ehs/ehs expectant/ 2 week post partum
MENTAL HEALTH
Procedures for Mental Health Serviceshs/u/mntlhlth/Procedures for MH Services/MH-0
Mental Health Child/Family Referral/Releasehs/u/mntlhlth/Referrals/mental health referral release MH-6
Referral Treatment Follow-up Report hs/u/mntlhlth/Referrals/MH-8
Resources:
Interventions for Difficult Behaviors hs/u/mntlhlth/CD/CD mntlhlth docs\DifficultBehaviors
Steps in Resolving Conflicts hs/u/mntlhlth/CD/CD mntlhlth docs\ResolveConflicts
Teaching Problem Solving hs/u/mntlhlth/CD/CD mntlhlth docs\teachprobsolving
DISABILITIES/SPECIAL NEEDS
Individual Action Plan hs/hs/coaching/individual action plan
Special Needs Request hs/universal/health/H-53
PARENT INVOLVEMENT/SOCIAL SERVICES
Socialization Planhs/ehs/socialization/socialization plan
Socialization Plan Guidance hs/ehs/socialization/socialization plan guidance
CC Environmental Checklist hs/ehs/socializations/cc environ
Snack Menu-EHShs/USDA/EHS socialization menu
Family Interest Survey hs/u/PI/PI-23
Family Interest Survey-Spanish hs/u/PI/PI-23 spanish
Volunteer Formhs/u/PI/PI-5
Elected Parent Committee Positionshs/u/PI/PI7
Policy Council Letterhs/ehs/PI/PI-1
Decision Makinghs/ehs/PI/PI-2
Policy Council Informationhs/ehs/PI/PI-3
Contacts, Inkind and SS Tracking Guide hs/ehs/social service/ss guidance
Parent Attendance/Sign In Sheet hs/U/PI /Sign In Sheets
SCHOOL READINESS EHS
EHSSchool Readiness Goals 2012-2013 hs/ehs/school readiness ehs/ ehs sr goals
EHS School Readiness Data 11/30/12 hs/ehs/school readiness ehs/ ehs sr data 11/30/12
STAFF AND PROGRAM MONITORING AND INFORMATION
Job Description Child Family Specialisths/admin/interview/jobdesc/EHS-CFS
Job Description Family Engagment Specialist hs/admin/interview/jobdesc/Family EngagementSpecialist
EHS Monthly Recap hs/ehs/staff monitoring/EHS Recap
Socialization Observation hs/ehs/socializations/socialization plan psc
Training Event Loghs/training/training log
EHS Home Visit Quarterly Trackinghs/ehs/HV/HVTrac
Child Plus Data Questionshs/misc/ChildPlusPIRDataQuestions
Home Visiting Safetyhs/u/hv/hvsafety
Professional Quarterly Review hs/ehs/staffmonitoring/professional review
EHS PD Plan hs/ehs/staff monitoring/ehs pd plan
EHS PD Guidance hs/ehs/staff monitoring/pd guidance
EHS Safe Environment Checklist hs/admin/procedure manual/site/EHS SafeEnvironChklst
EHS Drill and Safety Check Log hs/ehs/staff monitoring/ ehs drill & safety log
EHS HOVRS Guidance hs/ehs/staff monitoring/HOVRS guidance
2013-2014 EHS Parent Satisfaction Survey hs/ehs/staff monitoring/parent satisfaction
TRANSITIONING
Child /Family Transitioning Planhs/ehs/transition/trans 2
EHS Transition To HS Programshs/ehs/transition/trans-ehs
EHS-HS Transition Recaphs/ehs/transition/ehs-hs trans recap
Classroom Visit hs/ehs/transition/classroom visit
Transition Activities Loghs/ehs/transition/t-6
Extra, Extra hs/ehs/trans/ extra extra
3/14 p/head start/ehs/admin/newindex