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GROWING CARE 4004 SE Woodstock Blvd, Portland, OR 97202 pH (503)7770444 fax (503)7770445 care growingcarepdx.com PEDIATRIC PATIENT REGISTRATION Patient Name: Date: Age: Birth date: Parent Name (s):

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How to fill out complete pediatric intakedoc

01

Step 1: Start by collecting all necessary information about the pediatric patient, including their personal details, medical history, and any known allergies.

02

Step 2: Begin by filling out the patient's personal details, such as their name, date of birth, address, and contact information.

03

Step 3: Move on to documenting the patient's medical history. Include information about any previous illnesses, surgeries, or hospitalizations.

04

Step 4: Record any known allergies that the patient may have, including food allergies, medication allergies, or environmental allergies.

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Step 5: Write down the current medications the patient is taking, including the dosage and frequency of each medication.

06

Step 6: Document the patient's vital signs, such as their height, weight, blood pressure, and heart rate.

07

Step 7: Include any additional relevant medical information, such as immunization records or developmental milestones.

08

Step 8: Review the completed pediatric intake form for accuracy and completeness.

09

Step 9: Make copies of the form for the patient's records and for any necessary referrals or transfers to other healthcare providers.

10

Step 10: Store the completed pediatric intake form in a secure and easily accessible location.

Who needs complete pediatric intakedoc?

01

Pediatricians and healthcare professionals who specialize in treating infants, children, and adolescents need a complete pediatric intake form.

02

Parents or guardians of pediatric patients may also need a complete pediatric intake form when seeking medical care for their children.

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What is complete pediatric intakedoc?

Complete pediatric intakedoc is a comprehensive form that gathers important information about a child's medical history, current health status, and any specific needs or concerns.

Who is required to file complete pediatric intakedoc?

Parents or legal guardians are typically required to file complete pediatric intakedoc for their child at healthcare facilities or educational institutions.

How to fill out complete pediatric intakedoc?

Complete pediatric intakedoc can be filled out by providing accurate and detailed information about the child's health, medical history, allergies, current medications, and any other relevant details.

What is the purpose of complete pediatric intakedoc?

The purpose of complete pediatric intakedoc is to ensure healthcare providers have a comprehensive understanding of a child's health needs, potential risks, and necessary precautions to provide appropriate medical care.

What information must be reported on complete pediatric intakedoc?

Information such as the child's full name, date of birth, medical history, allergies, current medications, emergency contacts, and any specific health concerns should be reported on complete pediatric intakedoc.

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