Health & Nutrition History Form
This form is to be done on all children (Head Start/Early Head Start, Center Based/Home Based) . Part 1: is to be completed at enrollment and Part 2: is to be completed by the 2nd home visit. The forms are to be completed in their entirety. The form should be filed in the child's individual file in the Health/Nutrition section. Please follow-up on all concerns noted through the completion of this form. For repeat children please note any updates on the forms annually. For Early Head Start children see the below forms for nutrition updates.
Infant Nutrition Update
This form is to be completed on all infants when they enroll in the program and completed again at each age milestone noted on the top of the form. This is to be kept in the child's individual file in the Health/Nutrition section.
Toddler Nutrition Assessment
This form is to be completed once per year on center based Early Head Start children children who are greater than 12mos old. For home based children who are greater than 12 mos old this form should be completed according to the milestone age groups outlined on the form. This form should be kept in the individual child's file in the Health/Nutrition section.