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  • Mi Dhs-1637 2011

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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.

  1. Click the ‘Get Form’ button to obtain the MI DHS-1637 form and open it in the editor.
  2. Fill in the patient name, date of birth (DOB), and sex in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Input the allergies and current medications the patient may have. This information helps to assess potential risks during the examination.
  4. Document the prenatal and family history. This gives the healthcare provider context for potential hereditary health issues.
  5. Measure and record the patient's weight and height, noting the corresponding percentiles to monitor growth metrics.
  6. Complete the interval history section by detailing any injuries, illnesses, or significant changes in the patient's family or home.
  7. Fill out the nutrition section, specifying servings of grains, fruits, vegetables, whole milk, and meats/beans, as well as the type of water consumed.
  8. Assess and record the patient's physical activity level, sleep quality, and any menstrual history if applicable.
  9. Complete the screening and procedures section, ensuring that all required tests such as urinalysis and vision checks are noted.
  10. Enter the details of the physical exam findings in the review of systems, documenting any abnormal observations as necessary.
  11. 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.
  12. Utilize the anticipatory guidance section to provide health education topics discussed during the visit.
  13. 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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CT JD-FM-257 2017 CT JD-FM-257 2016 CT JD-FM-3 2015 CT JD-FM-6 2008

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MI DHS-1637
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