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Albina Health Upload Center
Document(s) to Upload (Include all pages)
Well Child Exam/Vision/Hearing
Dental Exam/Screening
Emergency Form Classroom Upload Pack (Must contain all children in classroom in alphabetical order in ONE FILE. Do not upload each child separately.)
Immunization Documentation
Results
Health Documentation Signed by Teacher/Home Visitor
Meal Preference Form
Child's Name
First Name
Last Name
Program
Please Select
Albina Early Head Start (Infant/Toddler)
Albina Head Start (Pre-K)
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
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