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DEPARTMENT OF HEALTH AND FAMILY SERVICES Division of Children and Family Services CFS60 (Rev. 01/2006) STATE OF WISCONSIN CHILD HEALTH REPORT CHILD CARE CENTERS Use of form: Use of this form is mandatory
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How to fill out child health report

How to fill out a child health report:
01
Start by gathering all necessary information about the child's medical history, including previous illnesses, vaccinations, and any ongoing medical conditions.
02
Ensure that you have the child's personal information, such as their full name, date of birth, and contact details, to accurately fill out the report.
03
Consult with the child's primary healthcare provider if you have any doubts or need assistance in filling out the report correctly.
04
Begin by filling in the child's basic information, such as their name, date of birth, and any identifying numbers or codes provided by the healthcare facility.
05
Document the child's height, weight, and any other physical measurements necessary for the report.
06
Describe any recent illnesses or injuries the child has experienced, including the symptoms, duration, and treatments received.
07
Record the child's vaccination history, indicating the immunizations they have received and the dates administered.
08
Provide information about any ongoing medical conditions the child has, including the diagnosis, treatments, and any medications being taken.
09
Include details about the child's developmental milestones, such as when they began walking, talking, or reaching other significant milestones.
10
Make note of any allergies the child has, as well as any known reactions or sensitivities to specific medications or substances.
11
If relevant, include any additional information or concerns about the child's health or well-being that may be important for healthcare providers to know.
12
Finally, review the completed child health report for accuracy and completeness before submitting it to the appropriate healthcare personnel.
Who needs a child health report:
01
Parents or guardians of the child often need a child health report to keep track of their child's medical history and share it with healthcare providers when necessary.
02
Primary healthcare providers who oversee the child's overall health and well-being require a child health report to accurately assess and manage the child's healthcare needs.
03
Schools, daycares, or other educational institutions may require a child health report as part of their enrollment or admission process to ensure the child's safety and well-being while under their care.
04
Specialists or other healthcare professionals who are involved in the child's medical care may also need a child health report for comprehensive evaluation and treatment purposes.
05
Government agencies or organizations responsible for ensuring the health and welfare of children may request a child health report as part of their monitoring or regulatory activities.
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What is child health report?
The child health report is a document that provides information about the health status and development of a child.
Who is required to file child health report?
Healthcare providers and parents or guardians are required to file the child health report.
How to fill out child health report?
The child health report can be filled out by providing accurate information about the child's health history, developmental milestones, and any concerns or observations.
What is the purpose of child health report?
The purpose of the child health report is to track and monitor the health and development of children, identify any potential issues early on, and provide appropriate interventions or treatments.
What information must be reported on child health report?
The child health report must include information about the child's medical history, growth and development, vaccinations, screenings, and any concerns or observations.
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