Get Md Healthy Kids Program Mental Health Questionnaire 2010-2025

The MD Healthy Kids Program Mental Health Questionnaire is a vital tool designed to assess mental health needs for children aged 13 to 20. This guide provides step-by-step instructions for completing the questionnaire online, ensuring a smooth and efficient process for users.

Follow the steps to complete the questionnaire with ease.

1. Click ‘Get Form’ button to obtain the MD Healthy Kids Program Mental Health Questionnaire and access it for completion.
2. Begin by entering the date at the top of the form and providing the child's name and date of birth. Ensure accuracy in these fields as they are essential for identification.
3. Next, fill in the managed care organization and the child's Medicaid number, if applicable. This information is necessary for processing the questionnaire.
4. Review the first section concerning attention-related difficulties. Mark 'Yes' or 'No' to the question about attention troubles, then proceed to the following queries about feelings of distrust, strange thoughts, and repetitive behaviors.
5. Continue with questions regarding school-related challenges. Indicate if there are issues with behavior, grades, or class attendance by checking the appropriate boxes.
6. Address the section focused on personal concerns. Here, answer questions about worries related to eating, sleep, and weight. Select 'Yes' or 'No' based on the child's experiences.
7. In the next section, evaluate the child's social interactions. Indicate whether they have trouble making or sustaining friendships by selecting the corresponding response.
8. Respond to the questions about emotional health, noting if the child frequently feels sad, angry, or afraid. Check the response options accurately.
9. There is a critical section addressing potential harmful behaviors or thoughts. Carefully indicate any applicable 'Yes' or 'No' responses to each inquiry.
10. On the second page, populate information regarding injury history, maltreatment, or family stressors. Specify details where required.
11. If there are any parenting concerns, please note them in the designated area, ensuring you provide as much relevant information as possible.
12. Complete the form by including the provider's details, including signature and contact information if the questionnaire is filled out by a provider.
13. Finally, review the entire form for accuracy. After completing it, you can save changes, download, print, or share the form as needed.

Complete the MD Healthy Kids Program Mental Health Questionnaire online today and ensure your child's mental health needs are addressed.