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What is a kid? A common term for a child. What is a child? A young individual human from birth until about 14 years old. How do you do a yearly health assessment of a child? What is the date these facts are recorded? _________________________ What is the location these facts are recorded? _________________________ Who is recording these facts? _________________________ How are you associated with the child? _________________________ Teacher Guardian Parent Doctor Doctor at school Nurse at school Counselor (Specify if any other entity) What is the name of the child? _________________________ What is the mailing address of this child? _________________________ How much space is there for living/sleep for this child? _________________________ Who takes care of this child at home? _________________________ Biological mother Biological father Guardian Foster mother Foster father (Specify if others) Who should be contacted in case of emergency regarding this child? _________________________ Biological mother Biological father Guardian Foster mother Foster father (Specify if others) What is this individual’s profile? _________________________ What is the date of birth of the child? _________________________ How old is the child on the date of annual health assessment? _________________________ What are the prominent recognition marks of the child? _________________________ Skin color (white, black, brown) Hair color (blonde, black, brown) Mole or mark on face or neck. Specify if there is any other recognition mark on body. What is the weight of child on this date? _________________________ What is the height of child on this date? _________________________ What are any specific facts/findings that must be recorded in the medical record? _________________________ Does the child have any congenital problem? _________________________ Who has the duty to care for this child? _________________________ Where is the child’s birth record? _________________________ Are there any reports or findings of child abuse and neglect? _________________________ Check for growth and development (any learning disability) How is the child’s intellectual development on this date? _________________________ Ask specific questions elaborated below. What is your name? How old are you? What is your date of birth? What is the date today? What is your mailing address? If the child answers these questions correctly, his/her intellectual development is normal. What would you like it to be? http://www.qureshiuniversity.com/professionsworld.html Ask the child to get oriented to various professions. In regions where English is not the first language, translate to the local language and get answers until child learns English language. Make sure the child is educated with English language. Relevant history (this can be transmitted via the Internet) Head to toe exam Immunization Are all recommended immunizations from the state up to date for the child? _________________________ Checks for hearing, eyesight, and teeth How are the child’s hearing, eyesight, and teeth on this date? _________________________ Normal If there are any findings, specify Advice about healthful eating What food is the child eating every day? _________________________ How long does the child walk every day? _________________________ Answers to your heath questions What questions do you have that are relevant to health or any problems? _________________________ Checks for emotion and behavior Are there any emotional (anger/crying, etc.) or behavioral issues with the child? _________________________ Lab work (blood and urine; not required every year) Does the child need any lab work? _________________________ Children usually do not need lab work unless there are abnormal findings. Medicolegal Is this a medicolegal case? _________________________ If this is a medicolegal case, what are the details? _________________________ Referrals if required Does the child need any referral? _________________________ Who has the child’s previous medical record? _________________________ How does the child’s growth and development compare to his/her age and previous years? _________________________ Normal. Delayed. Developmental disability. Specific new findings, if any. Who should maintain this medical record? _________________________ Ideally, the school with the supervision of his/her doctor Community health center How many times has the child previously gone through a yearly health assessment? _________________________ Where are the details of previous yearly health assessments? _________________________ Get the answers to the above questions and let a doctor (physician) answer the questions below. Does the child have any developmental delay on the date of evaluation? _________________________ Does the child have any developmental disability on the date of evaluation? _________________________ What are recommendations to enhance the health of this child? _________________________ |