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5 Early Childhood Pre K Health Record Supplement  Form

5 Early Childhood Pre K Health Record Supplement Form

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Pre-K Health Record Supplement. The DHS EC Pre-K Health Record can be downloaded from the Hawaii Department of Human Services website http //humanservices. The EC-Pre-K HRS is to be used in conjunction with the Hawaii Department of Education DOE Student s Health Record Form 14 2010. Print the name of the Parent or Guardian The Parent or Guardian must sign his/her name and write the date signed. To be used as part of a cover letter to the preschool parent or physician. The purpose of the Hawaii...
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