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UNIVERSITY OF CONNECTICUT HEALTH CENTER CORRECTIONAL MANAGED HEALTH CARE POLICY AND PROCEDURES FOR USE WITHIN THE CONNECTICUT DEPARTMENT OF CORRECTION NUMBER: H 1.01-Page 1 of 2 INMATE HEALTH RECORD/PROTECTED
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How to fill out h 101 inmate health

Point by point instructions for filling out the h 101 inmate health form:
01
Begin by gathering all necessary information about the inmate. This includes personal details such as their full name, date of birth, and inmate identification number.
02
Section A of the form requires filling out the inmate's medical history. Provide accurate information about any chronic illnesses, past surgeries, or ongoing medical conditions they may have. Remember to include any medications they are currently taking.
03
In Section B, document the inmate's current physical health status. This includes recording their height, weight, blood pressure, and any visible physical ailments or injuries they may have.
04
Section C of the form focuses on the inmate's mental health. Provide a detailed account of any known or suspected mental health issues the inmate may be experiencing. This can include conditions such as depression, anxiety, or substance abuse problems.
05
Next, in Section D, provide information regarding the inmate's dental health. Note any dental treatments or issues they may have, such as cavities, missing teeth, or ongoing dental care needs.
06
Section E requires capturing the inmate's reproductive health history. Document any relevant information about their reproductive health, including pregnancies, gynecological issues, or sexually transmitted infections.
07
If the inmate has any known allergies, make sure to list them in Section F. This includes allergies to medications, food items, or environmental factors.
08
In Section G, provide details about the inmate's immunization history. This includes noting past vaccinations they have received and any immunization records that are available.
09
If the inmate requires any special accommodations or medical devices, document them in Section H. This can include items such as hearing aids, prosthetics, or wheelchair accessibility needs.
10
Finally, ensure that all sections of the form are complete and accurate. Double-check for any errors or missing information before submitting the h 101 inmate health form.
Who needs h 101 inmate health?
The h 101 inmate health form is necessary for correctional facilities, medical staff, and administrators who are responsible for maintaining the health and well-being of inmates. It helps provide a comprehensive overview of an inmate's medical history, current health status, and any specific healthcare needs they may have. This information is crucial for ensuring appropriate medical care and treatment during their time in custody.
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What is h 101 inmate health?
H 101 inmate health is a form used to report the health status of inmates within a correctional facility.
Who is required to file h 101 inmate health?
The medical staff or healthcare professionals within the correctional facility are required to file h 101 inmate health.
How to fill out h 101 inmate health?
H 101 inmate health should be filled out with accurate and up-to-date information regarding the health of inmates, including any medical conditions or treatments.
What is the purpose of h 101 inmate health?
The purpose of h 101 inmate health is to ensure that the health needs of inmates are monitored and addressed accordingly within the correctional facility.
What information must be reported on h 101 inmate health?
The information reported on h 101 inmate health may include medical history, current health conditions, medications, treatments, and any medical emergencies that have occurred.
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