Follow the steps to successfully complete the TN CS-0629 form.

1. Click the ‘Get Form’ button to access the document and open it for editing.
2. Input the appointment date in the designated field. This date is important as it corresponds to the time of evaluation.
3. Enter the TFACTS person ID number, which is a unique identifier for the individual being evaluated.
4. Fill in the child's name and date of birth in the respective fields to ensure accurate identification.
5. Specify the home county of the child, as this may be relevant for jurisdictional purposes.
6. Provide the name of the Family Services Worker (FSW) overseeing the case to maintain proper communication.
7. List the provider's name and phone number to facilitate contact if needed.
8. Include the clinic name and address where the evaluation is conducted.
9. Document the DSM-V diagnosis to guide treatment and medication management.
10. Indicate any symptoms presented by the patient, ensuring the healthcare provider can assess the situation accurately.
11. Record other treatments being pursued in conjunction with medication.
12. For each current and discontinued medication, provide the name, dosage, frequency, route, and the number of refills needed.
13. For each medication listed, indicate if there has been an increase, decrease, discontinuation, or if there are any new medications.
14. Explain the reason medication was stopped or altered, providing essential context for future evaluations.
15. Document the recent height and weight of the child to monitor physical health associated with medication.
16. Note any laboratory or other diagnostic tests that have been performed recently.
17. Include vital signs such as pulse and blood pressure, as these can be significant indicators of health.
18. Record the date of the next appointment for continuous care planning.
19. Ensure the healthcare provider signs and dates the form at the bottom.
20. After completing the form, users can save changes, download the document, print it, or share it as required.

Complete your TN CS-0629 document online today for efficient record keeping.