Children entering licensed child care or preschool in Hawaii need the Department of Education's Student's Health Record (Form 14), and DHS 908 is the Department of Human Services supplement that goes with it. It records head circumference, Hgb/Hct, lead, BMI and developmental screening results, plus medical conditions that may need a special care plan from the early childhood provider.
The physician, NP, APRN or PA (or clinic) completes boxes 1 to 10 and signs or stamps. The parent completes the consent in boxes 11 to 13, and the early childhood provider uses box 8 when a special care plan is needed.
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Early Childhood Pre-K Health Record Supplement
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No. DHS 908 is a supplement used together with the DOE Student's Health Record, Form 14. The child's physician is asked to complete both forms for preschool or child care entry, and DHS 908 adds early childhood screening results and special care details.
If the child has a medical condition and the early childhood provider should develop a special care plan, the physician marks Yes in box 6 next to the category, such as allergies or medications. The program then completes box 8. DHS offers sample special care plans, including one for allergy on page 4.