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1600 9th Street, Sacramento, CA 95814 (916) 6542309November 16, 2001DMH LETTER NO.: 0107 TO:LOCAL MENTAL HEALTH DIRECTORS LOCAL MENTAL HEALTH PROGRAM CHIEFS LOCAL MENTAL HEALTH ADMINISTRATORS COUNTY
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How to fill out early and periodic screening

01
Start by gathering all the necessary information about the individual being screened, including personal details like name, date of birth, and contact information.
02
Familiarize yourself with the specific requirements and guidelines for early and periodic screening, as established by your organization or local authorities.
03
Prepare the necessary screening forms and documents, ensuring that they are complete and up-to-date.
04
Schedule an appointment with the individual to conduct the screening. Make sure to choose a convenient and appropriate location for the screening process.
05
When the appointment day arrives, follow the step-by-step guidelines provided in the screening procedure. This may include collecting health history information, conducting physical examinations, and performing necessary tests.
06
Carefully document the results of the screening, ensuring accuracy and completeness of the information recorded.
07
Evaluate the screening outcomes and determine the appropriate course of action based on the results. This may involve further medical evaluations, referrals to specialists, or follow-up appointments.
08
Communicate the screening results to the individual and/or their guardian, explaining any necessary follow-up steps or recommendations.
09
Keep all screening records and documentation securely filed, following privacy and confidentiality regulations.
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Periodically review and update the screening records as required, ensuring the individual's ongoing healthcare needs are met.

Who needs early and periodic screening?

01
Early and periodic screening is typically recommended for individuals who fit certain criteria, including but not limited to:
02
- Children and adolescents: Screening is often conducted to monitor growth and development, evaluate potential health conditions, and ensure timely interventions.
03
- Pregnant women: Screening is important to assess the health of both the mother and the developing fetus, detecting any potential complications or risks.
04
- Individuals with chronic illnesses or disabilities: Regular screening helps in managing their conditions, identifying any changes or complications, and adjusting treatment plans accordingly.
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- Individuals at risk of specific diseases or conditions: Certain populations, based on factors such as age, family history, lifestyle choices, or occupational hazards, may require targeted screening to detect potential health risks early on.
06
- Individuals participating in specific programs or organizations: Early and periodic screening may be a requirement for enrollment in certain programs, such as healthcare plans, educational institutions, or sports teams.
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Early and periodic screening refers to the required medical check-ups and assessments that certain individuals, such as Medicaid beneficiaries, must undergo on a regular basis to monitor their health and development.
Providers of Medicaid services or other healthcare professionals are required to file early and periodic screening on behalf of their eligible patients.
Early and periodic screening forms are typically filled out by healthcare providers during a patient's visit, documenting the results of the various screenings and assessments.
The purpose of early and periodic screening is to ensure that individuals receiving Medicaid benefits or other healthcare services are regularly monitored for any health issues and provided with timely interventions or treatments as needed.
Information reported on early and periodic screening forms typically includes the results of physical exams, developmental assessments, immunizations, and screenings for vision, hearing, and other health concerns.
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