Health Inventory Form for Children

Form Template

Every child should have medical and dental health supervision from birth to age 18.

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Even healthy children should see a doctor and dentist at regular intervals. Health check-ups should include physical examination and immunizations which are necessary to keep your child free of communicable disease. State law requires you to submit proof of age-appropriate immunizations on the Immunization Certificate to your child’s center, home, or school. This must be done before your child can be admitted.The Health Inventory Form mobile app requests health information from you (Part I) and from your child’s Health Practitioner (Part II). Parents should complete their section first; this will be helpful to the Health Practitioner in his evaluation of your child.

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