WELL CHILD EXAM ADOLESCENCE: 15 18 YearAuthority: P.A. 116 of 1973 Completion: Required Consequences of noncompletion: Noncompliance of licensing rules.Michigan Department of Health and Human Services Well.

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How to fill out the MI DHS-1637 online

Completing the MI DHS-1637 form online is a straightforward process that requires careful attention to detail. This guide will walk you through each section and field of the form to ensure accurate and efficient completion.

Follow the steps to successfully complete the MI DHS-1637 form online.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Fill in the patient's name, date of birth (DOB), and sex in the designated fields. Ensure that all personal information is accurate.
  3. Include the allergies section by noting any known allergies of the patient.
  4. Document the current medications that the patient is taking. This includes prescriptions and over-the-counter medications.
  5. Input the prenatal/family history if applicable, and record the patient's weight and height, including their percentiles.
  6. Complete the interval history section by including relevant information such as recent injuries, illnesses, or changes in the patient's family or home.
  7. Enter the body mass index (BMI) and select ‘Yes’ or ‘No’ in the provided fields regarding any concerns.
  8. In the review of physical systems section, indicate whether systems are normal or abnormal for each listed area such as general appearance, head, eyes, ears, etc.
  9. For the screening and procedures section, ensure all required tests are marked appropriately and results are documented.
  10. Complete the anticipatory guidance/health education section by checking all topics discussed during the visit.
  11. If necessary, provide additional notes and ensure the medical provider signature and details are entered.
  12. After filling all sections, save your changes, and download or print the form for record-keeping.

Complete your MI DHS-1637 form online today to ensure timely health assessments.

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