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Staying Healthy Assessment (SHA) Adult Questions by Age Group January 2014 RESPONSES IN THE LEFT COLUMN RESPONSES IN THE MIDDLE COLUMN Adult Senior DO NOT REQUIRE FOLLOW-UP REQUIRE FOLLOW-UP Question
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How to fill out SHA pediatric questions DHCS:

01
Start by accessing the SHA (Screening, Assessments, and Enrollment) pediatric questionnaire on the DHCS (Department of Health Care Services) website.
02
Read the instructions carefully to understand the purpose and requirements of the questionnaire.
03
Gather all necessary information and documents, such as the child's medical records, immunization history, and any relevant documentation from other healthcare providers.
04
Begin by providing the child's personal information, including their full name, date of birth, and contact details.
05
Answer all the questions in the questionnaire honestly and accurately. Make sure to fill in all the relevant fields and provide any necessary explanations or additional details, if required.
06
Pay close attention to any specific instructions or guidelines provided within the questionnaire, such as formatting requirements or specific documentation that needs to be attached.
07
Review the completed questionnaire thoroughly before submission to ensure that all information is correct and complete.
08
Once you are satisfied with your responses, submit the filled-out SHA pediatric questions DHCS either online, through mail, or as per the specific instructions provided by the DHCS.
09
Keep a copy of the filled-out questionnaire and any supporting documents for your records.

Who needs SHA pediatric questions DHCS?

01
The SHA pediatric questions DHCS is typically required for households or individuals who are applying for or renewing their participation in Medi-Cal, California's Medicaid program.
02
It is particularly relevant for families with children who require healthcare coverage through the Medi-Cal program.
03
The questionnaire helps gather necessary information about the child's health and medical needs, ensuring that they receive appropriate healthcare services and coverage through Medi-Cal.
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SHA pediatric questions DHCS stands for Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Pediatric Care, which is a tool used to identify and provide early intervention for substance abuse in pediatric patients.
Healthcare providers who see pediatric patients are required to administer and file SHA pediatric questions DHCS.
Healthcare providers must ask the specific questions outlined in the SHA pediatric questions DHCS form to pediatric patients and document their responses.
The purpose of SHA pediatric questions DHCS is to identify any substance abuse issues in pediatric patients early on and provide necessary intervention and treatment.
Healthcare providers must report the answers provided by pediatric patients to the substance abuse screening questions outlined in the SHA pediatric questions DHCS form.
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