Child and Teen Checkups (C&TC) Program
Information for Coordinators
C&TC Documentation Forms for Providers and Clinics | ||
0-1 month visit (DHS-4813A) 2 month visit (DHS-4813B) 4 month visit (DHS-4813C) 6 month visit (DHS-4813D) 9 month visit (DHS-4813E) 12 month visit (DHS-4813F) 15 month visit (DHS-4813G) 18 month visit (DHS-4813H) 24 month visit (DHS-4813I) 30 month visit (DHS-4813J) | 3 year visit (DHS-4813K) 4 year visit (DHS-4813L) 5 year visit (DHS-4813M) 6 year visit (DHS-4813N) 7 year visit (DHS-4813O) 8 year visit (DHS-4813P) 9 year visit (DHS-4813Q) 10 year visit (DHS-4813R) | 11 year visit (DHS-4813S) 12 year visit (DHS-4813T) 13-14 year visit (DHS-4813U) 15 year visit (DHS-4813V) 16 year visit (DHS-4813W) 17 year visit (DHS-4813X) 18 year visit (DHS-4813Y) 19-20 year visit (DHS-4813Z) |
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