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Get Ma Dds Form Hc-4 2003-2025
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How to fill out the MA DDS Form HC-4 online
The Massachusetts Department of Developmental Services (MA DDS) Form HC-4 is essential for conducting annual physical examinations for individuals receiving support. This guide provides detailed instructions on how to effectively complete the form online, ensuring all necessary information is captured accurately.
Follow the steps to fill out the MA DDS Form HC-4 online effortlessly.
- Press the ‘Get Form’ button to access the MA DDS Form HC-4 and open it in the online editor.
- Begin by entering the individual's name at the top of the form, followed by the date of the examination.
- Fill in the vital signs section, including height, weight, temperature, blood pressure, pulse, and respiration.
- Complete the general appearance section, providing observations about the skin, head, eyes, ears, mouth, neck, chest, heart, lungs, abdomen, genitalia, and overall physical condition.
- Proceed to the musculoskeletal section, assessing the back, spine, extremities, and lymph nodes.
- In the circulatory section, evaluate heart and lung function.
- Complete the neurologic examination section, including cranial nerves, reflexes, sensory, and motor functions.
- If needed, document any additional findings in the 'Other' section.
- Obtain the signature of the health care provider and date it properly.
- On the second page, input the patient's name and date again, and answer the questions regarding day habilitation services and allergies.
- Indicate any dietary restrictions, if applicable, and include information on approved health club equipment.
- List any physical activities that the individual should avoid.
- Confirm whether current medications have been reviewed and remain clinically indicated, and ensure the health care provider signs and dates this section.
- After completing all sections, review the form for accuracy, then save your changes, and choose to download, print, or share the form as needed.
Complete your MA DDS Form HC-4 online today for a smooth filing experience.
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