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MOTHERS MEDICAL RECORD #CHILD MEDICAL RECORD #
IF MULTIPLE BIRTH, this worksheet is for:Rev. 1/2017STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC HEALTHFACILITY WORKSHEET for the LIVE BIRTH CERTIFICATE
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How to fill out childs medical record
How to fill out childs medical record
01
Step 1: Start by gathering all necessary information about the child, including their full name, date of birth, and contact details.
02
Step 2: Obtain the child's medical history, including any previous illnesses, allergies, surgeries, or medications they have taken.
03
Step 3: Fill out the basic demographics section of the medical record, such as the child's gender, weight, and height.
04
Step 4: Record any existing medical conditions or chronic illnesses the child may have.
05
Step 5: Document all immunizations received by the child, including dates and types of vaccines administered.
06
Step 6: Include a section for any ongoing medications the child is currently taking, along with dosage instructions.
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Step 7: Note down any allergies or adverse reactions the child has experienced in the past, and specify the severity if known.
08
Step 8: Include emergency contact information for the child, such as the names and phone numbers of their parents or guardians.
09
Step 9: Document any recent medical tests or procedures the child has undergone, along with the results.
10
Step 10: Make sure to review the completed medical record for accuracy and completeness before storing it in a secure location.
11
Step 11: Remember to update the child's medical record regularly as new information becomes available or changes occur.
Who needs childs medical record?
01
Parents or guardians of the child
02
Pediatricians or primary care physicians
03
Hospitals or medical clinics
04
Schools or daycare centers
05
Specialists or healthcare professionals involved in the child's care
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What is childs medical record?
Child's medical record is a document containing a child's health history, including information on past medical conditions, medications, surgeries, vaccinations, growth charts, and any other relevant health information.
Who is required to file childs medical record?
Parents or legal guardians are typically required to file a child's medical record.
How to fill out childs medical record?
To fill out a child's medical record, you will need to provide accurate and up-to-date information on the child's health history, including past medical conditions, medications, surgeries, vaccinations, growth charts, and any other relevant health information.
What is the purpose of childs medical record?
The purpose of a child's medical record is to provide healthcare providers with a comprehensive overview of the child's health history, to assist in making informed medical decisions, and to ensure continuity of care.
What information must be reported on childs medical record?
Information that must be reported on a child's medical record includes past medical conditions, medications, surgeries, vaccinations, growth charts, and any other relevant health information.
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