Form preview

Get the free Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program P...

Get Form
Screen Date West Virginia Department of Health and Human Resources Early and Periodic Screening, Diagnosis, and Treatment (EPS DT) Hatcheck Program Preventive Health Screensaver DOB Age Sex: M4 Year
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign early and periodic screening

Edit
Edit your early and periodic screening form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your early and periodic screening form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing early and periodic screening online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit early and periodic screening. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out early and periodic screening

Illustration

How to fill out early and periodic screening

01
Step 1: Gather all the necessary information and documents required for the screening process.
02
Step 2: Begin by completing the personal information section of the screening form.
03
Step 3: Provide details about the child's medical history, including any chronic illnesses or ongoing treatments.
04
Step 4: Fill out the developmental screening section, which assesses the child's physical, cognitive, and social-emotional development.
05
Step 5: Answer the behavioral screening questions, focusing on any behavioral concerns or issues the child may have.
06
Step 6: Complete the screening by providing additional information requested, such as family history or previous screenings.
07
Step 7: Review the completed form for any errors or missing information.
08
Step 8: Submit the filled-out screening form to the appropriate healthcare provider or agency responsible for the early and periodic screening process.

Who needs early and periodic screening?

01
Children who are eligible for Medicaid or receive benefits through the Children's Health Insurance Program (CHIP) are required to undergo early and periodic screening.
02
Any child who may be at risk for medical, developmental, or behavioral issues should also undergo early and periodic screening.
03
This includes children from low-income families, those with a family history of certain diseases or conditions, and children who have experienced adverse events, such as neglect or abuse.
04
Additionally, children entering foster care or childcare programs may also need to undergo early and periodic screening.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
37 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Once your early and periodic screening is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.
The pdfFiller apps for iOS and Android smartphones are available in the Apple Store and Google Play Store. You may also get the program at https://edit-pdf-ios-android.pdffiller.com/. Open the web app, sign in, and start editing early and periodic screening.
Make sure you get and install the pdfFiller iOS app. Next, open the app and log in or set up an account to use all of the solution's editing tools. If you want to open your early and periodic screening, you can upload it from your device or cloud storage, or you can type the document's URL into the box on the right. After you fill in all of the required fields in the document and eSign it, if that is required, you can save or share it with other people.
Early and periodic screening is a program that provides preventive healthcare services to children at regular intervals to help identify and address any potential health issues early on.
Healthcare providers, such as doctors and clinics, are required to file early and periodic screening for their patients who are eligible for the program.
Providers can fill out early and periodic screening by documenting the results of the healthcare services provided to the eligible children and submitting the necessary paperwork to the appropriate authorities.
The purpose of early and periodic screening is to ensure that children receive regular preventive healthcare services to detect and address any health issues early on, ultimately improving their overall health outcomes.
Providers must report information such as the results of physical examinations, immunizations, developmental screenings, and any follow-up care provided to the children eligible for the program.
Fill out your early and periodic screening online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.