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Publication

Visiting the Dental Clinic with Your Child

Regular dental visits are important to keep children’s teeth and mouths healthy and to teach them to value good oral health. Learn about what will happen at the dental clinic.

Sample provider letter

The Office of Head Start NCH oral health forms are important records of a pregnant woman’s or child’s dental visit.

Head Start Eligibility Verification Form

Programs may use the Head Start Eligibility Verification Form as a component of the eligibility determination record alongside copies of documents or statements deemed necessary to verify eligibility.

Certification of Health and Safety Screening

This form may be used to fulfill the OHS requirement that the grantee governing body submit a signed certification of compliance with all applicable health and safety requirements within 75 calendar days of the start of the program or school year, or within 75 calendar days of the start of the five year project period when the five year project period begins during the program or school year. The form must be submitted to OHS in the Head Start Enterprise System (HSES) immediately thereafter.

The signatures on this form attest that an agency has completed a health and safety screening of each site where children receive Head Start services, consistent with the terms and conditions of the Notice of Award (NoA).

HeadStart.gov

official website of the Administration for Children and Families

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