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This guide provides a comprehensive overview of how to accurately complete the CH-5.doc - Okhca online. By following the step-by-step instructions outlined below, users can ensure that all necessary information is submitted correctly and efficiently.
Follow the steps to complete the CH-5.doc - Okhca online.
- Click the ‘Get Form’ button to access the CH-5.doc - Okhca and open it for editing.
- Fill out the patient sticker section, including the name, date of birth, date of visit, age, sex, and medical record number.
- Enter the height, weight, and head circumference, along with their respective percentiles.
- Record the vital signs such as temperature, pulse, and optional pulse oximetry reading. Include any medications currently taken by the patient.
- List any known allergies, along with any reactions to them, if applicable.
- In the history section, note any parental concerns and provide maternal and birth history if the birth history form has been reviewed.
- For the sensory screening, indicate if there are any parental concerns about vision or hearing, and check the appropriate box for follow-up observations.
- Complete the physical examination section by checking boxes for normal, abnormal, or not examined for each item listed under general observations.
- In the anticipatory guidance section, select topics that apply to the child and check them as appropriate.
- Document any procedures performed, including immunizations, and record whether they were given, not given, or up to date.
- Conclude with the assessment section, summarizing the child's health status, and outline the plan or recommendations.
- Finally, ensure that the provider signature and date are clearly filled out at the bottom of the form.
- After completing all sections, save your changes, download a copy for your records, print the form, or share it as needed.
Complete your documents online for a smooth and efficient process.
Stat. 5008(B). c) The mailing address for OHCA is: Oklahoma Health Care Authority, Attention: Provider Contracting, P.O. Box 54015, Oklahoma City, OK 73154.
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