To submit this form, ensure all fields are completed and any necessary additional documentation is included. Forms and supplemental documentation can be submitted to Texas Health Steps via specified online submission forms, emailing to dedicated support emails, fax numbers, or mailed to physical addresses provided by Texas Health Services. Keep a copy of the submitted form for your records. Submission advice: Double-check all fields for accuracy, ensure all required signatures are present, and submit according to the specified guidelines to avoid delays or non-compliance.

There are no specific dates provided in the document for 2024 and 2025.

The purpose of the Texas Health Steps Child Health Record forms is to ensure comprehensive documentation of all required components in pediatric checkups. The forms provide a structured way for healthcare providers to capture detailed information, helping in the consistent and thorough examination of children. This includes documenting patient demographics, medical history, immunizations, physical examinations, and dental referrals. By using these forms, providers can maintain organized records that align with state and federal guidelines. The forms also provide space for additional notes, assessments, and referrals, supporting a holistic approach to child health. Providers can also make sure that all necessary components of a checkup are completed and adequately documented, which is crucial for accurate patient records and continuity of care. These instructions help guide providers in accurately completing the forms. While the use of these forms is not mandatory, they are a valuable tool for ensuring thorough documentation. This ultimately supports better health outcomes for children by ensuring that all aspects of their health are monitored and recorded with precision and care.

• 1. Name: The patient's full name.
• 2. Medicaid ID: The patient's Medicaid number.
• 3. DOB: The patient's date of birth.
• 4. Primary Care Giver: The name of the person who provides primary care for the patient.
• 5. Gender: The patient's gender.
• 6. Phone: The primary contact number for the primary care giver.
• 7. Date of Service: The date when the checkup is conducted.
• 8. Informant: The person accompanying the patient and providing necessary information.

Failure to submit this form may lead to incomplete patient records and non-compliance with health documentation requirements.

• Inaccurate Medical Records: Without this form, there will be gaps in the child's medical history.
• Non-Compliance: Providers may fail to meet state and federal documentation guidelines.
• Missed Health Checks: Critical health assessments and referrals may be overlooked.

• 1. Routine Checkup: Use for documenting regular health assessments.
• 2. Immunization Tracking: Record immunizations administered during checkup.
• 3. Dental Referrals: Track and document dental referrals starting at 6 months of age.
• 4. Health Education: Document health education and anticipatory guidance provided to the patient.
• 5. Laboratory Tests: Record results of any lab tests conducted during the checkup.