top of page

Important Forms:

  1. Childhood Physical Form: Click Here
     

  2. Dear Doctor Form:






     

  3. Food Substitution Form






     

  4. Dental Form:
    Southern Counties Form (Bureau, LaSalle, Marshall, Putnam, & Stark)                          




    Northern Counties Form (Carroll, Lee, Ogle, & Whiteside)

​

Dear Doctor: Educational Form
Food Substitution Form

© 2016 Tri-County Opportunities Council
               Head Start & Early Head Start

Tri-County Opportunities Council

405 Emmons Avenue

Rock Falls, IL 61071

1-800-323-5434

bottom of page