EPSDT / TENNderCare: Other EPSDT Sample Forms

For information and sample forms click on the links below:

Newborn Hearing
www.infanthearing.org

AAP Periodicity Schedule
www.practice.aap.org/content.aspx?aid=1599

2009 Immunization Schedule
http://www.cispimmunize.org/

Sports Physicals:

Department of Health Clearance Form (Interscholastic Sports Examination  Form)

TNAAP's new Preparticipation Physical Evaluation and History Form

TNAAP's updated 11 to 14 year Well Child/ESPDT Form

TNAAP's updated 15 to 20 year Well Child/EPSDT Form

 

Background Sheet for Optional Dental Caries Risk Assessment

Dental Caries Risk Assessment Questionnaire

Risk Assessment Lead/TB/Cholesterol

Risk Assessment Lead/TB/Cholesterol (spanish)

Developmental Milestones Checklist

To locate Developmental and Behavioral Health Screening tools, go to the Screening Tools section under Dev /Beh Screening.