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Get the free Bright Futures Tool and Resource Kit - 6-Year Visit - English

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CLEAR FORMPATIENT NAME:DATE:Please print.American Academy of PediatricsBRIGHT FUTURES PREVISIT QUESTIONNAIRE6 YEAR VISITTo provide you and your child with the best possible health care, we would like
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The Bright Futures Tool is a web-based resource used to assess and document the developmental progress and needs of children from birth to age five.
Healthcare providers, including pediatricians and family doctors, are required to file the Bright Futures Tool as part of routine health assessments for young children.
To fill out the Bright Futures Tool, healthcare providers should complete a series of standardized questionnaires and assessments regarding the child's health, development, and family history.
The purpose of the Bright Futures Tool is to promote health and well-being in children by providing a structured approach to monitoring their development and guiding preventive care.
The Bright Futures Tool requires reporting information related to the child’s growth, developmental milestones, health history, and any specific concerns noted during the assessment.
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