Name of Mr Mrs Ms parent/guardian/carer Signature Date ____ / _____. / _______ Name of early childhood teacher (or nominee) Signature Date ____ / _____. / _______ Name/s of other persons completing this form Name Signature Date ____ / _____. / _______ Name Signature Date ____ / _____. / _______ Name Signature Date ____ / _____. / _______ Name Signature Date ____ / _____. / _______ Other How the kindergarten will support the health care needs child’s Strategy how will the kindergarten support the health care needs? Person responsible – child’s Overall support Is it necessary to provide the support during the kindergarten session? Provide details of this support, and how and when required. How can the recommended support be provided in the simplest manner, with minimal interruption to the education and care program?
Other Name of parent/guardian/carer Mr Mrs Ms Signature Date ____ / _____. / _______ Name of early childhood teacher (or nominee) Signature Date ____ / _____. / _______ Name/s of other persons completing this form Name Signature Date ____ / _____. / _______ Name Signature Date ____ / _____. / _______ Name Signature Date ____ / _____. / _______ Name Signature Date ____ / _____. / _______ How the kindergarten will support the child’s health care needs Strategy – how will the kindergarten support the child’s health care needs? Person responsible Overall support Is it necessary to provide the support during the kindergarten session? Provide details of this support, and how and when required. How can the recommended support be provided in the simplest manner, with minimal interruption to the education and care program?