Form ED191 Early Childhood Health Assessment Record - Connecticut

Form ED191 Early Childhood Health Assessment Record - Connecticut

What Is Form ED191?

This is a legal form that was released by the Connecticut State Department of Education - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ED191?
A: Form ED191 is the Early Childhood Health Assessment Record used in Connecticut.

Q: What is the purpose of Form ED191?
A: The purpose of Form ED191 is to record and track the health assessment of children in the early childhood stage.

Q: Who uses Form ED191?
A: Form ED191 is used by parents, caregivers, and healthcare providers to document a child's health assessment.

Q: What information is included in Form ED191?
A: Form ED191 includes information such as the child's personal details, medical history, immunization records, and developmental milestones.

Q: Is Form ED191 mandatory?
A: Yes, in Connecticut, it is mandatory to complete and submit Form ED191 for all children entering public school for the first time.

Q: What happens if I don't submit Form ED191?
A: Failure to submit Form ED191 can result in delayed enrollment or registration of your child in public school.

Q: Can I update Form ED191?
A: Yes, you can update Form ED191 as your child's health information changes. Ensure to inform your child's school or healthcare provider about any modifications.

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Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Connecticut State Department of Education;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ED191 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Education.

Download Form ED191 Early Childhood Health Assessment Record - Connecticut

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