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  • The Health Of Children In Utah's Child Welfare ... - Utah Courts

Get The Health Of Children In Utah's Child Welfare ... - Utah Courts

TO DCFS/FHC FAX # 801-536-0493 BASIC INFORMATION Child s Name: DOB: Current Age: Visit Date: Medicaid ID: Caseworker: Attending Visit: Parent Foster Parent Tracker Other: Provider Type: Medical Dental/Orthodontic Mental Health/Therapy PRACTITIONER FINDINGS VISIT TYPE: Well Child Check Sick/PRN Dental/Orthodontic (Include Oral exam age 3.

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How to fill out the Health Of Children In Utah's Child Welfare form online

Filling out the Health Of Children In Utah's Child Welfare form is essential for ensuring the well-being of children under care. This guide provides clear, step-by-step instructions to help users navigate the form with ease, facilitating a smoother submission process.

Follow the steps to accurately complete the Health Of Children In Utah's Child Welfare form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the basic information section. Include the child’s name, date of birth, current age, visit date, and Medicaid ID. Make sure to write clearly and legibly to avoid any issues.
  3. Identify the caseworker and the attending visitor type from the provided options, such as ‘Parent’, ‘Foster Parent’, or ‘Other’. Ensure this information is accurate.
  4. Specify the provider type, selecting among medical, dental, or mental health options. This helps to categorize the nature of the visit appropriately.
  5. In the practitioner findings section, indicate the visit type (well child check, sick/PRN, or dental/orthodontic) and document key vital signs such as blood pressure, height, and weight.
  6. Record the chief complaint or visit reason succinctly. This is crucial for understanding the purpose of the medical consultation.
  7. Outline any diagnosis or abnormal findings observed during the visit, ensuring to include severity and duration details.
  8. List any lab tests or diagnostics that were performed, attaching results if available.
  9. Detail the treatment provided and any medication changes, using the designated areas for listing medication changes (include 'N' for new, 'C' for change, and 'D' for discontinue).
  10. Capture any immunizations given during the visit from the provided list and ensure all sections are completed.
  11. Complete the allergies section, noting any allergies the child may have, followed by listing medications and their corresponding details.
  12. Fill in the provider's printed name, phone number, signature, date, and office location, along with the NPI number to validate the report.
  13. After verifying all entries are correct, save your changes. You may have the option to download, print, or share the form as necessary.

Begin filling out the Health Of Children In Utah's Child Welfare form online to ensure proper documentation.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
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
airSlate WorkFlow
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232