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Form Approved OMB No. 0935XXXX Exp. Date XX/XX/20XXADOLESCENT HEALTH RISK PROFILE Name: Birthdate:Insurance:Sex: Ethnicity/Race:Reg #:Your responses will be kept confidential to the extent permitted
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To fill out the adolescent health risk profile, follow these steps:
02
Obtain a copy of the adolescent health risk profile form.
03
Complete the personal information section, including the adolescent's name, date of birth, and contact details.
04
Answer the questions regarding the adolescent's physical health, such as any existing medical conditions or disabilities.
05
Provide information about the adolescent's mental health, including any psychiatric diagnoses or history of mental illness.
06
Indicate any substance use or risky behaviors by answering the relevant questions.
07
Answer questions related to sexual health, including sexual activity and use of protection.
08
Rate the adolescent's level of physical activity and involvement in sports.
09
Complete the section about healthy eating habits and nutritional information.
10
Answer questions related to safety precautions, including seat belt use and involvement in accidents.
11
Finally, review the filled-out form for accuracy and completeness before submitting it.

Who needs adolescent health risk profile?

01
The adolescent health risk profile is needed for any individual who is an adolescent or works with adolescents and wants to assess their health risks.
02
This profile is useful for healthcare professionals, educators, and researchers who aim to understand the health risks faced by adolescents and develop interventions or programs to address them.
03
Parents or guardians who want to monitor their adolescent's health and identify potential areas of concern can also benefit from using the adolescent health risk profile.
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The adolescent health risk profile is a comprehensive assessment that identifies potential health risks faced by teenagers.
Healthcare providers, schools, and other institutions working with adolescents are required to file the adolescent health risk profile.
The adolescent health risk profile can be filled out by gathering information on the adolescent's medical history, lifestyle habits, and family history, among other factors.
The purpose of the adolescent health risk profile is to help healthcare professionals identify and address any potential health risks faced by teenagers.
The adolescent health risk profile may include information on the adolescent's physical health, mental health, substance use, sexual activity, and other relevant factors.
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