Hawaii early screening printable 2026

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  1. Click ‘Get Form’ to open the Hawaii Early Screening printable in our editor.
  2. Begin by entering the 'Screen Date' in MMDDYY format. This is crucial for tracking the screening timeline.
  3. Indicate the EPSDT periodic screening age being reported by selecting the appropriate age from the provided options.
  4. Fill in the 'Patient Information' section, including Name, Medicaid/QUEST ID, and Birthdate. Ensure accuracy for proper identification.
  5. In the 'Measurements' section, document vital statistics such as Blood Pressure, Height, Weight, and BMI. For infants, include head circumference and weight for length.
  6. Complete the 'Immunizations Given Today and Status' section by checking off any immunizations administered or noting those not given.
  7. Proceed to fill out the 'Screening Done Today' section, marking results for vision and hearing screenings as well as developmental assessments.
  8. If referrals are needed, complete that section accordingly. If none are required, leave it blank to confirm no referral needs.
  9. 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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