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13 Months2 Years Department of State Health Services Child Health Record Preventive Health VisitClient Information Name: DOB: / / Age: Sex: SSN/Record No.: Race/Ethnicity: Informant/Relationship:
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ECH-5 13 months-2 yearsindd is a form used to report specific information regarding the developmental and health status of children aged 13 months to 2 years.
Parents or guardians of children aged 13 months to 2 years are required to file the ECH-5 form.
To fill out the ECH-5 form, provide accurate information on the child's health, development milestones, and any relevant medical history, ensuring all sections are completed as per the guidelines.
The purpose of the ECH-5 form is to monitor and assess the health and development of young children, aiming to identify any potential developmental delays.
The ECH-5 form must report information including the child's developmental milestones, health status, immunization records, and any concerns regarding the child's growth.
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