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Preventive Care Checklist Form Name Sex For average-risk routine female health assessments DOB Age Developed by Drs. 4-0. 8 mg OD for childbearing women adverse nutritional habits adequate calcium intake 1000 to 1500mg/d 1 adequate vitamin D 200 IU in 50-64 400-800 IU in 65 yr 1 For general population unless otherwise stated regular moderate physical activity avoid sun exposure use protective clothing safe sex practices/STD counseling esp gonorrh...
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What is preventive care form?
Preventive care form is a document that is used to report information related to preventive healthcare services.
Who is required to file preventive care form?
All healthcare providers and institutions who provide preventive care services are required to file the preventive care form.
How to fill out preventive care form?
The preventive care form can be filled out by providing the required information such as patient details, type of preventive service provided, date of service, and any other relevant information.
What is the purpose of preventive care form?
The purpose of the preventive care form is to collect data on preventive healthcare services provided, monitor the delivery and effectiveness of preventive care, and ensure compliance with regulations.
What information must be reported on preventive care form?
The information that must be reported on the preventive care form includes patient details, type of preventive service, date of service, healthcare provider details, and any additional required information.
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