Get the free CHILD PHYSICAL EXAMINATION Please print all information - info dhhs state nc

Copy given to, caregiver, on / / by DSS5244 (09/04) Family Support and Child Welfare Services

How to fill out child physical examination please

How to fill out a child physical examination form:

1. Start by obtaining the necessary form from your child's healthcare provider. You can usually request it during a routine check-up or by contacting the office.
2. Ensure that you have all the required information before you begin filling out the form. This typically includes your child's personal details such as name, date of birth, and contact information.
3. Look for sections on the form that require information about your child's medical history. This may include any chronic illnesses, allergies, or previous surgeries. Be as thorough as possible in providing accurate information.
4. The form may also ask about your child's immunization records. It's important to have this information up-to-date, as vaccinations play a crucial role in maintaining your child's health.
5. You may need to provide information about your child's development, including their height, weight, and any developmental milestones they've reached. If your child has any specific concerns or delays, make sure to note them on the form.
6. Check if there is a section that requires information about your child's daily habits, such as sleep patterns, exercise routine, or dietary preferences. Again, provide details as accurately as possible.
7. Some forms may include questions about the child's social and emotional well-being. This could involve their behavior, relationships with peers, or any signs of emotional distress.
8. If there are any specific concerns or medical issues that you want the healthcare provider to address during the examination, make sure to note them down separately on the form if there is space provided or in the additional comments section.

Who needs a child physical examination?

A child physical examination is typically needed for various reasons:

1. School or kindergarten enrollment: Most educational institutions require a child to undergo a physical examination before admission. This helps ensure that the child is healthy and fit to participate in school activities.
2. Sports participation: Many recreational or competitive sports programs require a physical examination to ensure that the child is physically capable of participating in the sport without significant risks.
3. Routine check-ups: Regular physical examinations are essential for monitoring a child's growth, development, and overall health. These check-ups help identify any potential health issues early on and establish a baseline for future assessments.
4. Immunization updates: Physical examinations often coincide with immunization schedules, allowing healthcare providers to administer or recommend the necessary vaccines to protect against various diseases.
5. Diagnosis or treatment of specific concerns: If a child presents with specific medical issues or concerns, a physical examination may be necessary to evaluate their condition and guide further diagnostic or treatment plans.

Remember, it is important to consult with your child's healthcare provider for specific instructions or requirements concerning the completion of the physical examination form.

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