Get Preventive Health Screening

Filling out the Preventive Health Screening form is an essential step in ensuring the health and well-being of individuals from newborn to 24 months. This guide will walk you through the process of completing the form accurately and efficiently.

Follow the steps to complete the Preventive Health Screening form online.

1. Click ‘Get Form’ button to obtain the document and open it in an online editor.
2. Begin by entering the patient's name at the designated area labeled 'PATIENT’S NAME:'. Ensure the spelling is correct.
3. Indicate the date of screening in the section labeled 'DATE OF SCREENING.' This helps in tracking the timelines for assessments.
4. Specify the age of the patient according to the given age ranges in the section labeled 'AGE OF PATIENT.' This ensures relevant screening protocols are followed.
5. In the 'TYPE OF EXAMINATION' section, check the appropriate box that corresponds to whether the examination is initial or interval.
6. Fill out the measurements section for height and weight, including blood pressure if relevant. This data is important for calculating growth metrics.
7. Complete the sensory screening section by checking the boxes for vision and hearing tests that have been performed.
8. For developmental screening, indicate the type of surveillance and check all applicable boxes to document the developmental assessments made.
9. Fill in the behavioral assessment section, including any autism screening performed.
10. Provide details for the unclothed physical examination and any general procedures, marking the relevant boxes based on the screenings performed.
11. Document any abnormalities identified in the 'ABNORMALITIES' section. Briefly explain problems and treatments or referrals, if applicable.
12. Once all sections are completed, review the form for accuracy. You can then save changes, download, print, or share the completed document.

Complete your Preventive Health Screening form online now to ensure timely health assessments.