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HealthCheck
Provider Manual

December 1, 2006

Kids
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West Virginia
Department of Health & Human Resources
HealthCheck Program
Administered by the
Office of Maternal, Child and Family Health
Funded by the
Bureau for Medical Services

 

TITLE SECTION PAGES
 

HealthCheck - Provider Manual  - Cover - 147 KB             

    1
  HealthCheck - First Section - Contents - 153 KB                  16
APPENDIX A Initial Health/Medical History Form - 114 KB                           3
APPENDIX B Age-Appropriate Preventive Health Screen Forms - 1,845 KB            19
APPENDIX C Growth Charts -  20.4 MB                                                11
APPENDIX D Progress Notes Form - 112 KB                                       2
APPENDIX E Immunization Schedule, Immunization Record - 1,484 KB     
 		     5
APPENDIX F Optional Hyperlipidemia Screening Guidelines, Optional Iron-Deficiency Anemia Screening Guidelines - 166 KB
 		     4
APPENDIX G Periodicity Schedule And Coding Matrix - 90 KB                       3
APPENDIX H Billing Instructions - 443 KB          3
APPENDIX I   Provider Request Forms - 242 KB          4