Get Child Health Assessment

Filling out the Child Health Assessment online is a crucial step in ensuring your child's health and well-being. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Child Health Assessment with ease.

1. Press the ‘Get Form’ button to access the Child Health Assessment form and open it in your preferred online editor.
2. Begin by entering the child's name in the designated field, followed by their sex and birth date. This information forms the basis of your child's health records.
3. Next, provide the names of the father and/or father’s domestic partner, and indicate if they live in the home with the child. Repeat this for the mother and/or mother’s domestic partner.
4. Indicate if the child is currently under the regular supervision of a physician and specify the date of the last physical or medical examination.
5. For infants and preschool-age children, fill out the developmental history section, noting down the age at which the child walked and began talking, as well as the start of toilet training.
6. In the past illnesses section, check any relevant illnesses the child has experienced and provide approximate dates. Include serious or severe illnesses or accidents, if any.
7. Answer the question regarding frequent colds and specify how many the child has had in the last year.
8. List any allergies the staff should be aware of in the designated field.
9. For daily routines, provide the times the child typically gets up and goes to bed, along with their diet patterns and any issues regarding meals.
10. Indicate whether the child is toilet trained and provide details about bowel movements and urination.
11. Complete the parent’s evaluation section by stating if the child is under a doctor’s care, takes any prescribed medications, or uses any special devices.
12. Evaluate the child's personality, social interactions, group play experiences, and any special problems, fears, or needs they may have.
13. State the plan for care when the child is ill and the reason for requesting day care placement.
14. Finally, sign the form and date it before submitting or saving your changes. You can then download, print, or share the completed form as needed.

Complete the Child Health Assessment online today for your child's well-being.