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The Annual Physical Examination Form is designed for individuals under the care of the Massachusetts Department of Mental Retardation to assess their health status annually.
The form includes a section for recording vital signs such as height, weight, temperature, blood pressure, pulse, and respiration.
It covers a wide range of health assessments including general appearance, skin condition, HEENT (Head, Eyes, Ears, Nose, Throat), and various organ systems.
There is a section to list any allergies and dietary restrictions that may affect the individual's care and treatment.
The form includes a question regarding approval for day habilitation services which is crucial for planning appropriate support.
It allows healthcare providers to approve specific health club equipment that the individual can safely use.
The form requires confirmation that current medications have been reviewed and are clinically indicated for continued use.
