Get the free CHILD HEALTHY WEIGHT REFERRAL bFORMb - Home Page - publications 1fife org

CHILD HEALTHY WEIGHT REFERRAL FORM Name: Male Date of Birth Female CHI Number Main Carers Name: Height(m) Relationship: Weight(kg) Address: BMI Gentile Postcode: Home Tel No: 91st98th 98th99.6th 99.6th

How to fill out child healthy weight referral

How to fill out a child healthy weight referral:

1. Start by gathering all the necessary information about the child, including their name, age, and contact information.
2. Fill out the sections related to the child's medical history. This may include any existing medical conditions, allergies, or medications they are currently taking.
3. Provide detailed information about the child's weight and height, including their current measurements and any recent changes.
4. Include any relevant information about the child's dietary habits, physical activity levels, and any efforts that have been made to address their weight.
5. If applicable, mention any concerns or observations that have been made by the child's parents, teachers, or healthcare providers regarding their weight.
6. Indicate the desired outcomes or goals for the child's weight management, such as improving overall health, increasing physical activity, or establishing healthier eating habits.
7. Give any additional details or information that may be important for the healthcare provider to know when evaluating the child's weight referral.

Who needs a child healthy weight referral?

1. Children who are above or below the healthy weight range for their age and height may need a child healthy weight referral.
2. Children who have been identified as overweight or underweight by healthcare professionals, parents, or teachers may require a child healthy weight referral.
3. Children who have existing medical conditions that may be influenced by their weight, such as diabetes, heart disease, or musculoskeletal issues, may benefit from a child healthy weight referral.
4. Children who are showing signs of low self-esteem, poor body image, or emotional distress related to their weight may be referred for intervention and support.
5. Children whose parents or caregivers are seeking guidance and support in managing their child's weight and promoting healthy lifestyle habits may also be recommended for a child healthy weight referral.

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