Contact:
Sudhira Mahajan

Early Head Start

An efficient and effective record-keeping system provides information that helps ensure quality services to children and families. The following are sample forms that are currently used in our program. Feel free to use or adapt the forms to your programs' unique needs. If you would like more information on our record-keeping system or would like to view more of our forms, please contact us.

Some Early Head Start Sample Forms:

The following documents open as Adobe Acrobat forms. If you need to download the program to open the forms, click here to get the latest version of Adobe Acrobat.

• Toddler Daily Information Exchange
• Early Head Start Health/Developmental Tracking Form
• Infant Nutrition History
• Early Head Start Child Nutrition History Guide
• Sacramento County Early Head Start Infant/Toddler Needs and Services Plan
• Family Partnership Agreement

Early Head Start Grow to Learn Sample Forms:

The following documents open as Adobe Acrobat forms. If you need to download the program to open the forms, click here to get the latest version of Adobe Acrobat.

• Early Head Start Curriculum Goals & Objectives
• Routines & Activities
• Environment & Materials
• Roles for Staff & Parents
• Early Head Start Individual Development Plan (IDP)
• Individualized Transition Plan
• Early Head Start Case Management Worksheet
• Early Head Start Individualization Cycle

If you have any questions about the forms listed above, please email Sudhira Mahajan or contact her at (916) 263-5664.

For more information call (916) 263-3804