Get Tn Sequatchie Valley Head Start Well Child Physical Examination Form H-10 2007-2025

Filling out the TN Sequatchie Valley Head Start Well Child Physical Examination Form H-10 online can streamline the process for both parents and health care professionals. This guide will provide you with clear, step-by-step instructions to ensure accurate completion of the form.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. In the section marked 'To be completed by Head Start Staff,' check the appropriate payer source: TN Care, Other Insurance, or Head Start.
3. Complete the relevant health history information, including the child's name, date of birth, center, and the parent/guardian's name.
4. Instruct the health care professional to fill out their section, starting with the height, weight, blood lead screening, hearing, age in years and months, blood pressure, and vision.
5. For the physical examination, mark the appropriate boxes: 'N' for normal, 'A' for abnormal, and 'NE' for not examined for each assessment area, such as general appearance, posture, gait, and others.
6. Describe any abnormal findings in the designated field and attach any screening tools if used.
7. Provide a general statement regarding the child's physical status, including any recommended treatment, follow-up needed, and any existing atypical conditions or limitations.
8. Finally, check any conditions the child is being treated for, including anemia, vision problems, asthma, or others, and provide the health care professional's name, signature, and date of examination.
9. Once all sections are completed, save the changes, and prepare to download, print, or share the completed form as necessary.

Complete your TN Sequatchie Valley Head Start Well Child Physical Examination Form H-10 online today for a convenient and efficient process.