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Annual health assessment of a child
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?

_________________________