Height Percentile % Interval History: (Include injury/illness, visits to other health care providers, changes in family or home) Nutrition Grains servings per day Fruit/Vegetables servings per day Whole Milk servings per day Meat/Beans servings per day City water Well water Bottled water Elimination Normal Abnormal Exercise Assessment Physical Activity: minutes per day Sleep Normal Abnormal Menstrual Preme.
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How to fill out the MI DHS-1637 online
The MI DHS-1637 form is essential for conducting comprehensive well-child examinations for adolescents aged 15 to 18 years. This guide provides step-by-step instructions that will help users fill out this important document accurately and efficiently.
Follow the steps to fill out the MI DHS-1637 online.
- Click the ‘Get Form’ button to obtain the MI DHS-1637 form and open it in the editor.
- Fill in the patient name, date of birth (DOB), and sex in the designated fields. Ensure accuracy as this information is crucial for identification.
- Input the allergies and current medications the patient may have. This information helps to assess potential risks during the examination.
- Document the prenatal and family history. This gives the healthcare provider context for potential hereditary health issues.
- Measure and record the patient's weight and height, noting the corresponding percentiles to monitor growth metrics.
- Complete the interval history section by detailing any injuries, illnesses, or significant changes in the patient's family or home.
- Fill out the nutrition section, specifying servings of grains, fruits, vegetables, whole milk, and meats/beans, as well as the type of water consumed.
- Assess and record the patient's physical activity level, sleep quality, and any menstrual history if applicable.
- Complete the screening and procedures section, ensuring that all required tests such as urinalysis and vision checks are noted.
- Enter the details of the physical exam findings in the review of systems, documenting any abnormal observations as necessary.
- Discuss the results of the visit with the patient and/or guardian and note whether an update to the problem list or any referrals are required.
- Utilize the anticipatory guidance section to provide health education topics discussed during the visit.
- Once all sections are completed, save the document. You may choose to print, download, or share the form as necessary.
Complete the MI DHS-1637 form online today and ensure accurate tracking of adolescent health examinations.
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