Get Minor/child Registration History Form - Carolinas Healthcare System

This guide provides comprehensive instructions for completing the Minor/Child Registration History Form from Carolinas HealthCare System. By following the outlined steps, users can efficiently provide the necessary information regarding their child's medical history.

Follow the steps to fill out the Minor/Child Registration History Form online.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by entering the name of the minor or child at the top of the form followed by the date the form is completed. This ensures accurate identification and record-keeping.
3. Fill out the birth history section, including the hospital of birth, obstetrician's name, complications during birth, type of delivery, birth weight, and birth length. It is important to provide as detailed and accurate information as possible.
4. Indicate any problems the baby may have had immediately after birth. This section allows you to reflect on any early health issues.
5. Complete the developmental milestones section, listing the ages when the minor or child achieved key milestones such as cooing, sitting, speaking their first word, and walking. This information helps track the child's development.
6. Move to the family history section. Mark 'yes' or 'no' for any significant health issues that any family member or close relative may have experienced, including conditions like heart disease or diabetes.
7. In the health history section, provide information about the child’s physician, the date of their last physical examination, current medications, and any history of hospitalization. This assists healthcare providers in understanding the child's medical background.
8. Complete any relevant sections about health difficulties the minor or child may have experienced. Please mark 'yes' or 'no' for conditions, such as asthma or lead poisoning.
9. Fill in the developmental and social history sections, indicating any concerns about the child's development and involvement in activities. This information can be crucial in addressing the child's needs.
10. Finally, read and sign the release statement, confirming the accuracy of the information provided. Ensure to include the date of signing for record purposes.
11. Once all sections are filled, review the form for accuracy, and then save your changes. Users can download, print, or share the completed form as needed.

Complete your Minor/Child Registration History Form online today for a streamlined healthcare experience.