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Get the free EPSDT Well Child Exam Form - WellCare

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Early and Periodic Screening, Diagnostic and Treatment (EPS DT) Well Child Exam Member Name: Age: Provider Name: Chief Complaints: Feeding: Vital Signs: Temp Pulse Ht BMI Percentile Head Circumference
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How to fill out epsdt well child exam

01
Gather necessary information such as the child's medical history, immunization records, and any known health concerns.
02
Arrive at the exam with the child wearing comfortable, loose-fitting clothes.
03
Expect the healthcare provider to conduct a thorough physical examination, including measurements of height, weight, and blood pressure.
04
Be prepared for the healthcare provider to assess the child's developmental milestones and ask questions about their behavior and sleep patterns.
05
Discuss any concerns or questions you have about the child's health or development with the healthcare provider.
06
Ensure that the child receives any necessary immunizations or screenings recommended for their age.
07
Follow any additional instructions provided by the healthcare provider, such as scheduling follow-up appointments or obtaining lab tests.
08
Keep a record of the exam and any recommendations or advice provided by the healthcare provider for future reference.

Who needs epsdt well child exam?

01
Children and adolescents under the age of 21 are eligible for EPSDT well child exams.
02
These exams are particularly important for individuals receiving Medicaid, as EPSDT is a Medicaid benefit.
03
EPSDT well child exams are recommended for all children to monitor their health, growth, and development.
04
Children with special healthcare needs or known medical conditions may require more frequent or specialized EPSDT exams.
05
Consult with your healthcare provider to determine if your child is due for an EPSDT well child exam.
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EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) well child exam is a comprehensive preventive health screening program for children under the age of 21.
Healthcare providers are required to file EPSDT well child exams for their patients.
EPSDT well child exams are filled out by healthcare providers during a comprehensive check-up of a child's health, development, and well-being.
The purpose of EPSDT well child exams is to ensure early detection and treatment of health conditions and to promote the overall well-being of children.
EPSDT well child exams typically include information about the child's medical history, physical examination findings, developmental milestones, and any recommended screenings or treatments.
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