Get Ar Cfs-352 2017-2025

Filling out the AR CFS-352 form is a crucial step in documenting the medical, dental, vision, hearing, and psychological needs of children. This guide provides a clear, step-by-step approach to help users accurately complete the form online.

Follow the steps to complete the AR CFS-352 form online.

1. Press the ‘Get Form’ button to access the AR CFS-352 and open it in your preferred online editor.
2. Begin by filling in the name of the child in the designated field at the top of the form.
3. Enter the date of the exam accurately to maintain proper records.
4. Specify the type of visit by selecting the appropriate option under 'Visit Type'.
5. Input the child's date of birth in the designated area for age verification.
6. Indicate the Medicaid number for the child to ensure coverage details are connected.
7. Record the time of the exam, specifying AM or PM as necessary.
8. Complete the sections for dental, vision, hearing, medical, and psychological details as applicable for the child's visit.
9. Document the child's height, weight, and BMI where requested on the form.
10. In the 'Problem/DX' section, clearly describe the reason for the child's visit, either by the foster parent or family service worker. The provider should also include the diagnosis.
11. Under the 'Treatment' field, the provider must write all medications prescribed and any treatments ordered during the visit.
12. Fill in any relevant dental information, specifically noting the affected tooth surface.
13. Indicate if follow-up appointments or referrals are necessary, specifying the required dates.
14. Identify who accompanied the child for the visit by choosing from the options provided or specifying an alternative.
15. Provide the provider’s signature and title in the designated area to validate the form.
16. Fill out the provider's address, ensuring the office stamp or print name is included.
17. Input the provider's contact number for any necessary follow-up.
18. Once all fields are completed, review the form for accuracy and completeness before saving changes.
19. Finally, download, print, or share the completed AR CFS-352 form as required.

Complete your forms online today to ensure all necessary information is accurately documented.