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EPSDT / TENNderCare

  • Overview
  • Federal/State EPSDT Requirements
  • EPSDT Encounter Documentation Forms
  • Other Sample Forms
  • EPSDT Manual
  • EPSDT Components
  • Oral Health
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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.

     

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