EPSDT / TENNderCare: EPSDT Chart Documentation Forms

TNAAP's EPSDT Age Specific Encounter Forms

TNAAP has age-specific chart documentation forms to assist practitioners in documenting EPSDT/TENNderCare services.

Pediatricians developed these forms with input from staff, MCOs, and TennCare representatives. Use of these one-page forms help track the various age-specific requirements and prompt appropriate documentation of each service provided.

To download a PDF of the forms click on the link below:

Complete Set of Age Specific Encounter Forms


Archives

Complete Set of Age Specific Encounter Forms - Revised 6/09.