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Pediatric Health and History Firsthand you for choosing Marian joy Rehabilitation Hospital, part of Northwestern Medicine, for your children rehabilitation needs. The following health and history
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How to fill out pediatric health and history
How to fill out pediatric health and history
01
Step 1: Begin by gathering the necessary information, such as the child's personal details (name, date of birth, address, etc.), parent/guardian information, and emergency contact details.
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Step 2: Record the child's medical history, including any medical conditions, allergies, medications, and previous surgeries.
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Step 3: Document the child's immunization history, including the dates and types of vaccines received.
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Step 4: Take note of the child's growth and development milestones, such as their height, weight, and cognitive/physical development.
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Step 5: Include information about the child's dietary habits, sleep patterns, and any relevant habits or behaviors.
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Step 6: Record any past or ongoing illnesses, hospitalizations, or chronic conditions the child has experienced.
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Step 7: Include details about the child's family medical history, as certain conditions may have a genetic component.
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Step 8: Document any screenings or tests conducted on the child, such as hearing or vision tests.
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Step 9: Review and update the pediatric health and history form regularly to ensure accurate and up-to-date information.
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Step 10: Store the completed form securely and make copies for the child's healthcare providers or when transferring to a new medical facility.
Who needs pediatric health and history?
01
Any child receiving medical care or visiting a healthcare facility should have a pediatric health and history form filled out.
02
This includes pediatric patients visiting their primary care physician, pediatric specialists, hospitals, urgent care centers, or school/childcare clinics.
03
The form helps healthcare providers assess the child's overall health, track their medical history, and make informed decisions regarding their care.
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It is also useful for emergency situations when immediate access to the child's health information is necessary.
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