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.brightfutures.aap.org/pdfs/AAP%20Bright%20Futures%20Periodicity%20Sched%20101107.pdf

2011 Recommended Immunization Schedule 0-6 (PDF)

2011 Recommended Immunization Schedule 7-16 (PDF)

2011 Catch-up Immunizaiton Schedule (PDF)

2010 Recommended Immunization Schedule (PDF)

2010 Catch-up Immunization Schedule (PDF)

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

 

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.