15 month Developmental
Please read each questions carefully and check the box that best describes your child's behavior. Check the box if this behavior is a concern for you.
If other please explain below
If other please explain below:
Bright Futures- How is your child doing?
Lead Risk Assessment
TB Risk Assessment
If yes, to any of the above, the child has and increased risk of TB infection and should have a TST/IGRA. All children with a positive TST/IGRA result must have a medical evaluation, including a chest X-ray. Treatment for latent TB infection should be initiated if the chest X-ray is normal and there are no signs of active TB. If testing was done, please attach or enter results on next page.