Get Physical Check Up Form

Completing the Physical Check Up Form online is a straightforward process that ensures your child's health is thoroughly assessed and monitored. This guide provides a step-by-step approach to help you navigate the form with ease and provide accurate information about your child's health history.

Follow the steps to fill out the Physical Check Up Form online:

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by filling in the personal details section, which includes the child's name, age, sex, and the date of the well-child visit.
3. Proceed to the allergies section. Indicate if your child has any known allergies and provide details if applicable.
4. In the child interval history section, note any medical changes or concerns since the last visit. Make sure to be as specific as possible.
5. Fill out the family medical history section, including any changes or concerns since the last visit.
6. Document any illnesses, accidents, or hospitalizations that have occurred since the last visit.
7. Indicate the child's dental history, including any issues, by selecting yes or no and describing if applicable.
8. Provide information on any developmental issues or behavioral concerns by selecting yes or no and offering descriptions where necessary.
9. List any current medications or vitamins that your child is taking.
10. Assess and note the child’s developmental milestones, following the prompts to determine if development is normal for their age and culture.
11. Complete the nutritional assessment section by answering questions about the child's diet and water source.
12. Respond to questions regarding physical activity, including types of activities and screen time usage.
13. If applicable, fill in lab tests results and screenings performed on your child.
14. Complete the physical exam section, documenting the results and observations from the health check.
15. Finish by reviewing the immunization plan and health education guidance provided.
16. Once all sections are complete, save your changes, and choose to download, print, or share the form as necessary.

Complete your child’s health assessment online today to ensure their well-being.