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How do I fill this out?
Filling out the NC Pre-K Health Assessment Transmittal Form is straightforward. Begin by providing accurate personal details about your child and their health screenings. Ensure that you follow up with any additional information required for developmental screenings.

How to fill out the NC Pre-K Health Assessment Transmittal Form?
1
Fill in the child's personal information including name, birthdate, and gender.
2
Provide details on health screenings such as vision and hearing.
3
Indicate any health concerns that should be communicated to school personnel.
4
Attach any relevant screening documents and referrals if necessary.
5
Review the completed form for accuracy before submission.
Who needs the NC Pre-K Health Assessment Transmittal Form?
1
Parents/Guardians need this form to enroll their child in the NC Pre-K program.
2
Healthcare providers require it to document health screenings and referrals for children.
3
School administrators need the form to maintain health records for students.
4
Teachers may refer to this form to understand health concerns that may affect learning.
5
Childcare centers must have this form on file for compliance with licensing regulations.
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Click the edit option to modify text fields as needed.
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What are the instructions for submitting this form?
Submit the completed NC Pre-K Health Assessment Form to the Johnston County NC Pre-K Program. You can email the form to ncprek@pfcjc.org or fax it to 919-975-2522. Alternatively, drop off a physical copy at the address: 1406-A S Pollock Street, Selma, NC 27576. Always ensure that the form is fully completed before submitting, as incomplete forms may delay processing.
What are the important dates for this form in 2024 and 2025?
Important dates for the NC Pre-K program will typically include enrollment deadlines and health screening due dates. For 2024, ensure all forms are submitted before the start of the school year. In 2025, similar deadlines will apply, and it's crucial to stay updated.

What is the purpose of this form?
The purpose of the NC Pre-K Health Assessment Transmittal Form is to gather essential health information regarding children enrolling in the NC Pre-K program. By collecting this data, the form ensures that children meet health requirements for participation in the program. It also serves to inform teachers and staff of any health issues that may affect the child's learning experience.

Tell me about this form and its components and fields line-by-line.

- 1. Child's Name: Full name of the child enrolling in the program.
- 2. Birthdate: The birth date of the child.
- 3. Gender: The gender identification of the child.
- 4. Health Concerns: Any health issues that should be shared with school personnel.
- 5. Vision Screening: Outcomes from vision screenings conducted prior to enrollment.
- 6. Hearing Screening: Outcomes from hearing screenings conducted prior to enrollment.
- 7. Dental Screening: Results from dental screenings or referrals.
- 8. Screening Tools: Tools used for development and health screenings.
What happens if I fail to submit this form?
If the NC Pre-K Health Assessment Form is not submitted, it may hinder your child's enrollment in the program. Missing necessary health information could result in delays in processing or denial of enrollment. It is crucial to ensure all sections are completed and submitted on time.
- Health Screening Gaps: Failure to provide comprehensive health screening documentation.
- Delay in Enrollment: Potential delays in the child's enrollment process.
- Communication Issues: School personnel may lack necessary health information.
How do I know when to use this form?

- 1. Child Enrollment: To enroll children in the NC Pre-K program.
- 2. Health Screening Documentation: To provide proof of completed health screenings.
- 3. Emergency Communication: To inform school staff of any specific health concerns.
Frequently Asked Questions
What is the NC Pre-K Health Assessment Form?
It is a document required for children enrolling in the NC Pre-K program, outlining essential health screenings.
How do I edit the PDF?
You can edit the PDF by opening it in PrintFriendly and using the editing tools available.
Can I save the edited PDF?
You can download the edited PDF once you're finished making changes.
What should I do if my child is uncooperative during screenings?
Make a note of this in the appropriate section of the form and include any relevant details.
Is there a deadline for submitting this form?
You should check with the NC Pre-K program to confirm any specific submission deadlines.
What if I have questions while filling out the form?
Feel free to contact the provided office number for assistance.
Can I attach additional documents?
Yes, you should attach any relevant screenings or referrals if applicable.
Where do I submit this form?
You can submit the completed form to the designated NC Pre-K program office.
Is there a cost associated with this form?
There is no cost to fill out the NC Pre-K Health Assessment Form.
What happens if I forget to sign the form?
Your submission will not be valid without a signature, so be sure to sign before sending.
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