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State of California Health and Human Services Agency Department of Health Care Services Staying Healthy Assessment Senior Patient s Name (first & last) Date of Birth Person Completing Form (if.

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How to fill out the Staying Healthy Assessment online

Completing the Staying Healthy Assessment online is a straightforward process that helps gather important health information. This guide will walk you through each section of the form to ensure that you can provide accurate and helpful responses.

Follow the steps to complete the assessment with ease.

  1. Click the ‘Get Form’ button to access the Staying Healthy Assessment and open it for completion.
  2. Enter the patient's name by providing their first and last names in the designated field.
  3. Input the date of birth for the patient. This is crucial for identifying age-related health concerns.
  4. If a person other than the patient is completing the form, specify their relationship to the patient (e.g., family member, friend) in the ‘Person Completing Form’ field.
  5. Record today’s date to mark when the assessment is being completed.
  6. Address the section regarding assistance with the form. Indicate if help is needed and specify if an interpreter is required.
  7. Proceed through each question in the assessment. Circle 'Yes,' 'No,' or 'Skip' based on the patient's situation for each health-related question asked.
  8. Ensure all health-related sections, such as nutrition, safety, mental health, and independent living are completed as accurately as possible.
  9. If unsure about any response, remember to circle 'Skip,' and advise the patient to discuss it with their healthcare provider if needed.
  10. After completing all questions, review the form for accuracy, then choose to save changes, download, print, or share the assessment as required.

Begin completing your Staying Healthy Assessment online today for better health management.

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Hit a century in style with our top tips. Eat well. As we get older our metabolism slows down, and we need more of some foods but less of others. ... Get active – and work those muscles. ... Stay mentally active. ... Keep an eye on your weight. ... Stay connected. ... Get regular health checks. ... Quit smoking. ... Keep hydrated.

Five tips for a healthy lifestyle Get regular checkups. These are important even when you feel healthy. ... Exercise. Try to exercise at least 30 minutes most days a week. ... Quit tobacco. ... Limit alcohol and avoid drugs. ... Eat healthy foods.

Here are 20 practical health tips to help you start off towards healthy living in 2020. Eat a healthy diet. Consume less salt and sugar. Reduce intake of harmful fats. Avoid harmful use of alcohol. Don't smoke. Be active. Check your blood pressure regularly. Get tested.

The Most Important Things Healthy People Do Every Day, and Tips for Leading a Balanced Lifestyle in the New Year Exercise. The benefits of a regular exercise routine extend far beyond meeting weight-loss goals. ... Sleep. ... Eat healthfully. ... Drink water. ... Enjoy leisure time. ... Know your risk factors and be proactive with your health.

What's on this page Maintain a Healthy Weight. Exercise Regularly. Don't Smoke Or Use Smokeless Tobacco. Eat a Healthy Diet. Limit Alcohol – Zero Is Best. Protect Yourself from the Sun And Avoid Tanning Beds. Protect Yourself From Sexually Transmitted Infections. Get Screening Tests.

ing to The World Health Organization (WHO) the word health is, “a state of complete physical, mental and social well-being,” and this includes the use of personal and social resources to ensure an individual can function throughout their everyday lives.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232