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MISSOURI DEPARTMENT OF SOCIAL SERVICES MO HEALTHIER DIVISIONHEALTHY CHILDREN AND YOUTH SCREENING GUIDE 1415 YEARS DATENAMEDATE OF BIRTH MO HEALTHIER NUMBERTEMPRRMEDICAL RECORD NUMBERHEIGHTBMIALLERGIESNKDA%
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01
Begin by gathering all necessary information about the child or youth, including their personal information, medical history, and any specific health concerns or goals.
02
Familiarize yourself with the Healthy Children and Youth form and ensure you have a clear understanding of each section and requirement.
03
Start by filling out the first section which usually includes the child's basic information such as name, date of birth, gender, and contact details.
04
Move on to the medical history section and provide accurate information about any previous illnesses, surgeries, allergies, or chronic conditions the child or youth may have.
05
If applicable, provide details about the child's immunization history, including the dates and types of vaccines received.
06
Fill out the section related to the child's current health status, including any ongoing medications or treatments they are receiving.
07
In the next section, you may need to provide information about the child or youth's dietary habits, exercise routine, and sleep patterns.
08
Ensure to carefully review and update the emergency contact information section, including the names and phone numbers of individuals to be contacted in case of any medical emergencies.
09
Finally, sign and date the form to indicate that the information provided is accurate and complete.
10
Submit the filled-out Healthy Children and Youth form to the appropriate authority or organization as per their specified guidelines.

Who needs healthy children and youth?

01
Parents or legal guardians of children and youth who want to ensure their overall health and well-being.
02
Medical professionals who require comprehensive information about the child's health history and current status in order to provide appropriate medical care.
03
Educational institutions or sports organizations that may require this form to assess and monitor the health and fitness of children and youth participating in their programs.
04
Public health agencies or research organizations that collect data on the health of children and youth for statistical analysis and policy development purposes.
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Healthy children and youth refers to individuals under the age of 18 who are in good physical, mental, and emotional health.
Healthcare providers, schools, and parents or legal guardians are required to file information on healthy children and youth.
Healthy children and youth forms can be filled out online or submitted through paper forms provided by the relevant authority.
The purpose of healthy children and youth reporting is to monitor and track the health and well-being of individuals under the age of 18.
Information to be reported includes medical history, immunization records, growth development, and any health concerns or conditions.
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