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Hawaii early screening printable 2026
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- Click ‘Get Form’ to open the Hawaii Early Screening printable in our editor.
- Begin by entering the 'Screen Date' in MMDDYY format. This is crucial for tracking the screening timeline.
- Indicate the EPSDT periodic screening age being reported by selecting the appropriate age from the provided options.
- Fill in the 'Patient Information' section, including Name, Medicaid/QUEST ID, and Birthdate. Ensure accuracy for proper identification.
- In the 'Measurements' section, document vital statistics such as Blood Pressure, Height, Weight, and BMI. For infants, include head circumference and weight for length.
- Complete the 'Immunizations Given Today and Status' section by checking off any immunizations administered or noting those not given.
- Proceed to fill out the 'Screening Done Today' section, marking results for vision and hearing screenings as well as developmental assessments.
- If referrals are needed, complete that section accordingly. If none are required, leave it blank to confirm no referral needs.
- Finally, ensure all sections are filled out accurately before saving your document. You can easily export or share it directly from our platform.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2010 | 4.9 Satisfied (522 Votes) |
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