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PREFERRED PEDIATRIC 88 Noble Ave Milford, CT 06460 203 8742800 AUTHORIZATION FOR RELEASE/REQUEST OF INFORMATIONAL: PATIENT INFORMATION (PLEASE PRINT): PATIENTS NAME: PATIENTS DATE OF BIRTH: STREET
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How to fill out preferred pediatric medical records

01
Step 1: Gather the necessary information about the child, including their personal details, medical history, and any known allergies or medical conditions.
02
Step 2: Start by filling out the demographics section, which includes the child's full name, date of birth, gender, and contact information.
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Step 3: Move on to the medical history section, documenting any previous illnesses, surgeries, or hospitalizations the child has had.
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Step 4: Include information about the child's current medications, dosage, and frequency of usage.
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Step 5: Fill out the immunization records, indicating the vaccines the child has received and the dates of administration.
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Step 6: Provide details about any known allergies or adverse reactions the child has experienced.
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Step 7: Document any family medical history that may be relevant to the child's health.
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Step 8: If applicable, record the child's growth and development milestones.
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Step 9: Include any additional notes or comments that may be helpful for the child's healthcare provider.
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Step 10: Review the completed form for accuracy and completeness before submitting it.

Who needs preferred pediatric medical records?

01
Preferred pediatric medical records are needed by pediatricians, healthcare providers, parents, guardians, and other individuals involved in the child's healthcare.
02
These records are important for keeping track of a child's medical history, immunization status, allergies, and other relevant health information.
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They ensure continuity of care, facilitate communication between healthcare professionals, and assist in making informed medical decisions for the child.
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Preferred pediatric medical records are comprehensive health records specifically designed for children, encompassing their medical history, treatment plans, vaccinations, and other relevant health information.
Healthcare providers, including pediatricians, hospitals, and clinics that treat children, are required to maintain and file preferred pediatric medical records.
To fill out preferred pediatric medical records, healthcare providers should include demographic information, medical history, immunization records, treatments and procedures performed, medications prescribed, and any other pertinent health information.
The purpose of preferred pediatric medical records is to ensure that children's health information is organized, easily accessible, and facilitates informed medical care, continuity of treatment, and coordination among different healthcare providers.
Preferred pediatric medical records must report information such as patient demographics, family medical history, immunization status, allergies, medications, lab results, treatment history, and notes from healthcare visits.
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