2019-2020 School Health Services Program Annual Report to CDE

Form Login Account:
New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form. Enter numbers only in fields requesting a number, do not type words. Use tab key or mouse to move to next box. Select the categories where your district spent funds, this will populate the forms with the items you need to answer. If no funds were spent on a category, do not select it. No need to enter zeros.

SUMMARY OF EXPENDITURES Enter totals here after all amounts have been entered and totaled in report.

Total Funds Expenditure for 2019-2020


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Total Administrative Expenditures:


Select the Health Service categories where your district spent funds for the 2019-2020 fiscal year. Your selection will help to populate only the questions that you need to answer. If you need furter assistance, please contact Omar Estrada Estrada_O@cde.state.co.us
Select the Health Service Category(s) in which your district/BOCES spent money: *

Assistance/Emergency Funds (Service Units only)

Assistive Technology (Pieces of Equipment)

Audiology (FTE and Pieces of Equipment)

Case Management/Care Coordination (FTE Only)

Dental (Service Units Only)

Health Assistant/Clinic Aide (FTE Only)

Health Education (FTE Only)

Intensive Health Tech (FTE Only)

Insurance Outreach - CHP+ & Medicaid (FTE Only)

Materials/Equipment/Supplies (Pieces of Equipment)

Mental Health (FTE and Pieces of Equipment)

Motor Therapy (FTE and Pieces of Equipment)

Nursing Services (FTE and Pieces of Equipment)

Nutrition (# of Classes Only)

Occupational Therapy (FTE and Pieces of Equipment)

Orientation & Mobility (FTE and Pieces of Equipment)

Parent & Family Services (FTE Only)

Physical Therapy (FTE and Pieces of Equipment)

Physician Services (FTE and Physician Visits)

Screening and Assessments (FTE Only)

Speech Language SLP (FTE and Pieces of Equipment)

Training/Professional Development (# of classes Only)

Transportation (Pieces of Equipment Only)

Vision (Pieces of Equipment Only)

Total # Piece of Equipment
Total # of FTE
Total Health Services Expenditures:

EDAC Approval Stamp for 2019-20