Get General Health Appraisal Form - Colorado State University - Hdfs Chhs Colostate 2020-2025

This guide provides step-by-step instructions on how to complete the General Health Appraisal Form for Colorado State University. Users will find a clear explanation of each section to ensure accurate and efficient filling of the form online.

Follow the steps to fill out the General Health Appraisal Form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the child's name and birthdate in the designated fields. Ensure all spelling is correct for identification purposes.
3. Indicate any allergies by checking 'None' if applicable, or selecting 'Describe' and providing detailed information about the allergies present.
4. Complete the dietary information by specifying whether the child is breastfed, using formula, on a special diet, or age-appropriate diet. Provide further details as prompted.
5. Review the sleep recommendations, which state that infants under one year should be placed on their back for sleep. Acknowledge consent for the healthcare provider to discuss the child's health by signing the consent statement provided.
6. In the health care provider’s section, record the date of the last physical exam, recent weight, hemoglobin/hematocrit, blood pressure, and lead level, making sure these details are current and accurate.
7. Indicate if the physical exam was normal or abnormal. If abnormalities exist, check the relevant health concerns and provide explanations as necessary.
8. List any current medications or special diets, stating 'None' if applicable. If medications are prescribed, ensure a separate authorization form is filled out for those given in childcare.
9. Mark whether fever reducers or pain relievers may be administered, specifying the product name and dosage. Attach any necessary dosage schedules from the office.
10. Confirm the immunization status of the child, indicating if they are up-to-date or provide specific details for administered vaccinations today.
11. Provide the health care provider's name, address, office stamp, or phone number as required, ensuring this information is clear and legible.
12. Finally, certify the form by signing and dating it as the health care provider. Ensure all necessary fields are complete before submission.
13. After completing the form, save your changes and choose to download, print, or share the document as needed.

Complete your General Health Appraisal Form online today for a seamless submission process.