Vous êtes sur la page 1sur 2

Years Months

AGE

7
4
4

9
6
9
6

8
5
2

10
18
15
12

30
24
2 weeks
Newborn
D/C to 5 days
History

E03-14572   July 1, 2018


Nutritional Screening

Review of Milestones

ASQ, ASQ:SE, or PEDS


SURVEILLANCE
DEVELOPMENTAL

M-CHAT or M-CHAT-R/F™
Mental Health: Psychosocial/
Behavioral Health Screening
HEALTH
MENTAL

Postpartum Depression Screening


TB Questionnaire with Skin Test
if Risk Identified
Unclothed Physical Examination

Critical Congenital Heart Defect Screening

Length

Height

Weight

BMI
MEASUREMENTS

Fronto-Occipital Circumference

Blood Pressure

Visual Acuity
VISION

Subjective Vision
Newborn Hearing Test
(OAE or ABR)
Audiometric Screening
HEARING

Subjective Hearing

Dental Referral
Screen/Administer Immunizations
According to ACIP Guidelines
Newborn Screening Panel

Blood Lead Screening

Anemia

Dyslipidemia
LABORATORY TESTS

Type 2 Diabetes
TEXAS HEALTH STEPS MEDICAL CHECKUP PERIODICITY SCHEDULE FOR BIRTH THROUGH 10 YEARS OF AGE

Health Education/Anticipatory Guidance


Years

AGE

18
19
16
14
13

15
12

17

20
11

L EGEN D
Mandatory

Risk-based
History

Recommended

E03-14572   July 1, 2018


Nutritional Screening

Mental Health: Psychosocial/


Behavioral Health Screening
PSC-17, PSC-35, Y-PSC, PHQ-9, PHQ-A,
HEALTH
MENTAL

CRAFFT, or Patient Health Questionnaire


for Adolescents
TB Questionnaire with Skin Test if Risk
Identified

Unclothed Physical Examination

Height

Weight

BMI
MEASUREMENTS

Blood Pressure
If not completed at the required age, must be completed at the first opportunity if age appropriate.
Visual Acuity
VISION

Subjective Vision

Audiometric Screening
HEARING

Subjective Hearing

Dental Referral
For developmental, mental health, vision, or hearing screenings: when both colors appear at the same age, perform the most appropriate-level screen.

Screen/Administer Immunizations
According to ACIP Guidelines

Dyslipidemia

Type 2 Diabetes

STD/STI Screening
LABORATORY TESTS

HIV Test
TEXAS HEALTH STEPS MEDICAL CHECKUP PERIODICITY SCHEDULE FOR 11 THROUGH 20 YEARS OF AGE

dshs.texas.gov/thsteps

Health Education/Anticipatory Guidance