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Name: DOB: Actual Age: Deathwatch EPS DT 1 2 MONTHS INTAKE & VITAL SIGNS Height: Weight: Allergies: INTERVAL HISTORY Feedings: Illnesses: Stools: Vision: Hearing: GROWTHDEVELOPMENT Prone, lifts head
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How to Fill Out EPSDT 1-2 Months:

01
Gather all necessary documents and information, such as your child's medical records, immunization history, and any developmental or behavioral concerns you may have.
02
Schedule an appointment with your child's pediatrician or primary care provider.
03
Arrive on time for the appointment and check in with the receptionist.
04
Provide the necessary information to the medical staff, including your child's personal details, medical history, and any concerns you would like to address during the EPSDT visit.
05
Follow the instructions given by the medical staff during the examination, which may include height, weight, and head circumference measurements, as well as a thorough physical examination.
06
Answer any questions the pediatrician or primary care provider may have regarding your child's development, behavior, and overall health.
07
Discuss any concerns or observations you have noticed since the last visit, such as feeding difficulties, sleep patterns, or milestones not yet reached.
08
Listen to the medical advice and recommendations provided by the healthcare provider, which may include further tests, screenings, or referrals to specialists if necessary.
09
Ensure that any necessary follow-up appointments, tests, or vaccinations are scheduled before leaving the office.
10
Update your child's medical records and keep a copy for your own records.

Who Needs EPSDT 1-2 Months:

01
Infants and children between the ages of 1 and 2 months require EPSDT (Early and Periodic Screening, Diagnosis, and Treatment) visits.
02
Children who are eligible for Medicaid or Children's Health Insurance Program (CHIP) usually have regular EPSDT visits to ensure they receive comprehensive healthcare services.
03
EPSDT visits are important for the early detection of potential health issues, monitoring growth and development, and providing necessary treatments and interventions.
04
Parents or caregivers of infants and children in the 1-2 month age range should schedule and attend EPSDT visits to ensure their child's health and well-being are properly assessed and addressed.
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EPSDT 1-2 months is a program that provides early and periodic screening, diagnostic, and treatment services for children between the ages of 1-2 months.
Healthcare providers and caregivers are required to file EPSDT 1-2 months for children within the designated age range.
EPSDT 1-2 months can be filled out by providing detailed information about the child's health history, screenings, and any necessary treatments.
The purpose of EPSDT 1-2 months is to ensure that children receive necessary screenings and treatments to promote their overall health and well-being.
Information such as the child's growth measurements, developmental milestones, screenings for medical conditions, and any treatments provided must be reported on EPSDT 1-2 months.
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