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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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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
MI DHS-1637
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