EPSDT / HCY Required Forms
Healthy Children & Youth Screenings

Click here for an overview of EPSDT.

Newborn - 1 Month 12-14 Months 4 Years 12 - 13 Years
2-3 Months 15-17 Months 5 Years 14-15 Years
4-5 Months 18-23 Months 6-7 Years 16-17 Years
6-8 Months 24-35 Months 8-9 Years 18-19 Years
9-11 Months 3 Years 10-11 Years 20 Years

EPSDT / HCY Required Forms
Use & Interpretation

Growth Charts

Birth-36 Months: Length-for-age and Weight-for-age percentiles Boys Girls
Birth-36 Months: Head circumference-for-age and Weight-for-length percentiles Boys Girls
Weight-for-stature percentiles Boys Girls
2-20 yrs: Stature-for-age & Weight-for-age percentiles Boys Girls
2-20 yrs: Body mass index-for-age percentiles Boys Girls

Missed Appointments

Additional Resources

 

 
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