Healthy Kids Bus Stop

Which location would you like to visit?*

Hillston (Hillston Central School) Tuesday 18 MayHay (Hay Public School) Wednesday 19 MayHay (Hay Public School) Thursday 20 MayParkes (Parkes East Public School) Monday 24 MayParkes (Parkes East Public School) Tuesday 25 MayTrundle (Trundle Children's Centre) Wednesday 26 MayParkes (Parkes East Public School) Thursday 27 MayPeak Hill (Peak Hill Preschool) Friday 28 May

Select preferred time*

Child's Full Name*

Child's DOB (DD/MM/YYYY)*

Gender*

Has the child ever been to Royal Far West?*

Does your child have an NDIS package?*

Is your child currently accessing any local services?*

Guardian's Name*

Postal address*

Town*

Postcode*

Home phone

Mobile phone*

Email*

Medicare Number*

Medicare Card expiry date*

Child's reference number on Medicare Card*

What preschool/school does your child currently attend?*

What preschool/school will your child be attending next year?*

Who is your child's GP?*

GP Address*

Who is your child's dentist?*

Has your child been to see a dentist in the last 12 months?*

Is your child's immunisation status up to date?*

Is your child of Aboriginal or Torres Strait Islander origin?*

How did you hear about the Health and Developmental Screening?*

Who will be attending the Screening with the child?*

Does your child have motor skills development difficulties?*

Does your child have difficulties with speech or language? *

When was your child's last hearing test?*

What was the result of the hearing test?*

Do you have any concerns about your child's emotional wellbeing?*

Comments

Does your child have any significant behavioural difficulties?*

Comments

Does your child struggle to pay attention?*

Comments

Do you have any other concerns regarding your child?

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Healthy Kids Bus Stop is a free comprehensive health screening program aimed at children 3-5 years of age, run in partnership with local communities.

Healthy Kids Bus Stop – upcoming visits

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