he principal or other authorized official of a school shall report to a child's parent or guardian any unusual behavior, changes in physical appearance, changes in attendance habits and changes in scholastic achievement which may indicate an impairment of a child's health. Recommendations as to medical, surgical or dental care shall be sent to each parent or guardian on forms prepared or approved by the Commissioner of Health, with instructions to the parent or guardian to notify the Department of Education of the action taken with respect to the recommendations.