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PEDIATRIC HEALTHCARE ASSOCIATES (203) 4528322 AUTHORIZATION TO RELEASE MEDICAL RECORDS To: Doctors Name Address Phone: Fax: Please send ALL medical records on my children: Name DOB: Name DOB: Name
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How to fill out medical records - pediatric:

01
Obtain the necessary forms: Begin by acquiring the appropriate medical record forms for pediatrics. These forms may be obtained from the healthcare facility, hospital, or pediatrician's office.
02
Patient identification: Start by filling out the patient's identification information accurately. Include the child's full name, date of birth, gender, address, and contact information. Ensure that the information matches the child's identification documents.
03
Medical history: Record the child's medical history, including any previous illnesses, hospitalizations, surgeries, and major medical conditions. It is crucial to be thorough and include relevant details such as dates, medications, and treatments.
04
Immunization records: Document the child's immunization history, including the specific vaccines received, dates of administration, and any adverse reactions or contraindications. This information is vital for tracking immunization status and ensuring timely vaccinations.
05
Developmental milestones: Note the child's developmental milestones, such as motor skills, speech and language progress, cognitive abilities, and social interactions. This information helps healthcare professionals assess the child's progress and identify any potential developmental delays or concerns.
06
Growth parameters: Record the child's height, weight, head circumference, and other relevant growth parameters at each visit. Use standardized growth charts to track the child's growth trajectory and identify any abnormal patterns.
07
Physical examination findings: Document the findings of the physical examination thoroughly. Note any abnormalities, observations, or specific medical issues uncovered during the examination. Include vital signs like blood pressure, heart rate, and respiratory rate.
08
Diagnosis and treatment: If the child has been diagnosed with any specific conditions, disorders, or illnesses, ensure that these are accurately documented. Detail the prescribed treatments, medications, or referrals provided to the child. Update these records regularly to reflect changes in diagnosis or treatment plans.
09
Progress notes: Include progress notes or narratives describing each visit, including the reason for the visit, symptoms, interventions, and follow-up plans. These notes provide a comprehensive overview of the child's medical journey and aid in continuity of care.

Who needs medical records - pediatric?

01
Parents or guardians: Parents or legal guardians are typically the primary custodians of a child's medical records. They need access to pediatric medical records to provide accurate information when necessary, coordinate care, and ensure the child's well-being.
02
Pediatricians and healthcare providers: Pediatricians and other healthcare providers require access to a child's medical records to provide appropriate medical care, track the child's growth and development, make accurate diagnoses, and create effective treatment plans.
03
Specialists and consultants: If a child is referred to a specialist or consultant for a specific medical condition, they need access to the child's medical records to review the child's medical history, previous treatments, and test results. This helps specialists provide informed and coordinated care.
04
Emergency medical personnel: In case of emergencies, medical records for pediatric patients are essential for emergency medical personnel to quickly understand the child's medical history, allergies, medications, and any pre-existing conditions. This information can be vital for providing appropriate and timely medical treatment.
05
Educational institutions: Some educational institutions may require access to a child's medical records, especially for specific conditions or disabilities that may affect their learning or require additional accommodations.
Remember, accessing and sharing medical records should always be done securely and in compliance with privacy regulations to protect the child's sensitive personal and medical information.
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Medical records - pediatric are documents that contain a child's health information, including their medical history, treatments, medications, and progress.
Healthcare providers, hospitals, and clinics are required to file medical records - pediatric.
Medical records - pediatric can be filled out by healthcare professionals by documenting the child's health information accurately and thoroughly.
The purpose of medical records - pediatric is to track and manage a child's health, provide continuity of care, and support medical decision-making.
Medical records - pediatric must include the child's medical history, diagnoses, treatments, medications, allergies, vaccinations, and any relevant test results.
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