Get Hsfis Child Oral Health Assessment

Completing the HSFIS Child Oral Health Assessment online is a crucial step in ensuring proper oral health for children. This guide provides clear, step-by-step instructions to help users navigate the form efficiently and accurately.

Follow the steps to fill out the HSFIS Child Oral Health Assessment online.

1. Press ‘Get Form’ button to obtain the form and open it in your designated editor.
2. Enter the child's name in the designated field, followed by their date of birth (DOB). In the next field, specify the center the child attends.
3. Input the date seen for the assessment using the format of day/month/year.
4. Select the provider setting from the provided options: Doctor/Clinic, Center, or Other. If 'Other' is chosen, specify the type of provider setting.
5. Indicate the type of assessment being conducted by checking either 'Examination' or 'Screening' based on the child's needs.
6. Fill in the number of times the child brushes their teeth per day in the appropriate field. If applicable, check the flossing frequency or indicate that it is not applicable (NA).
7. Assess the gum condition by marking the appropriate options: Normal, Infected, Swollen, or Bleeds Easily.
8. Identify any dental needs by selecting the relevant services under 'Preventive Services' such as Medical, Fluoride Supplement, Treatment, Oral Hygiene Instruction, and Sealants. If there are no needs, mark 'No Needs'.
9. Detail the dental services provided at the time of the visit. Check boxes for Treatment, Cleaning, Fluoride, Sealants, or Other, or select 'No Problems'.
10. Indicate whether all treatment is completed at this time by checking 'Yes' or 'No'.
11. Provide a follow-up date if necessary and add any general comments in the designated space.
12. Finally, the provider should sign and date the document, including their printed name.

Complete the HSFIS Child Oral Health Assessment online to ensure comprehensive care for children.