Albina Health Upload Center

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Albina Health Upload Center
Document(s) to Upload (Include all pages)

Well Child Exam/Vision/HearingDental Exam/ScreeningEmergency Form Classroom Upload Pack (Must contain all children in classroom in alphabetical order in ONE FILE. Do not upload each child separately.)Immunization DocumentationResultsHealth Documentation Signed by Teacher/Home VisitorAll Smiles Dental Permission FormMeal Preference FormMedication Administration Plan (M.A.P.) and Medication Photos
Child's Name

First NameLast Name
Program
If currently enrolled in Early Head Start with plans to enroll in Head Start for the upcoming program term, select "Albina Early Head Start".
Your Email:
example@example.com
Please upload BOTH the MAP and a photo of the medication label diplaying Name, Dosage Instructions, Provider and Expiration
Upload Health Documentation*

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