Forms

Head Start - Family Services

• Family Partnership Agreement/Family Outcome Goal

• CCT Head Start/Early Head Start: Strengths and Needs Assessment

• Family Outcomes Framework guide

• Family Services Policy and Procedures

Head Start - Teacher Home Visit/Parent Conference

• Individual Development Plan

• Toilet Training Plan

• Accident Reports

• Initial Home Visit Form

• Documentation Form

• 2nd Home Visit Form

• 1st Parent Teacher Conference Form

• 2nd Parent Teacher Conference Form

Head Start - Parent Orientation

• Parent Hand book

• Permit/Agreement/Consent form

• Permission and Release Form for Field Trip

• Nutrition Questionnaire

• Bus Safety Information

• Child and Adult Care Food Program Enrollment Form

• Fluoride Varnish Application Consent Form

• Emergency Information and Consent to Medical Care

• CCT Head Start Release Of Information

• **Parent HS Requirment flyer

Head Start - Health/Safety

• Immunization Letter MMR

• Immunization Letter 30 Day

• Allergy Form

• Child Find and the SPED Process Handbook

• EPSDT Handbook

• Recommendation for Preventative Pediatric Health Care

• Oral Health Risk Assessment tool 

• Preliminary Health screen form

• Milk Substitute form
  

Head Start - ERSEA forms

• Head Start Child/Family Housing Questionnaire

• No Income Form

• Application: Head Start/Early Head Start/Childcare/B-3 Application-Print version (see Eligibility tab for more information and online application)

• Head Start Pamphlet

Birth to Three Early Intervention:

• Birth To Three/Childcare/Head Start/Early Intervention Application

  (See Eligibility tab for a direct link to online application)

• Birth To Three Pamphlet

• Referral Form: Head Start/Birth To Three

Child Plus Forms:

Attachment Cheat Sheet

Child Plus Module

Community Resources and Networking Programs:

• Okanogan LEA Referral

• Pregnant Mother Resource Guide