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Child Health Assessment - Childhood 15 Months - Department of Health (New Jersey) Mobile App

Conduct a Child Health Assessment of 15-month-olds using this digital app. Accessible via smartphone or tablet, with digital capture fields for all necessary assessment points.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Child Health Assessment - Childhood 15 Months - Department of Health (New Jersey) Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Child’s Name

  • Ico date

    Date of Birth

  • Ico textbox

    Birth Weight

  • Ico multiline

    Allergies

  • Ico multiline

    Illnesses/Injuries/Problems/Concerns

  • Ico multiline

    Current Medications

  • Ico statictext

    SUBJECTIVE

  • Ico dropdown

    My child walks well, stoops and climbs stairs

  • Ico dropdown

    My child understands simple commands

  • Ico dropdown

    My child feeds self with fingers

  • Ico dropdown

    My child can say 3 to 6 words

  • Ico textbox

    Diet

  • Ico checkbox

    Vitamin Supplement with Iron

  • Ico checkbox

    Fluoride Supplement

  • Ico checkbox

    Lead Risk Assessment (verbal)

  • Ico checkbox

    Review Immunization Record

  • Ico checkbox

    TB Test (if high risk factor present)

  • Ico checkbox

    Hgb/Hct

  • Ico checkbox

    WIC Referral

  • Ico checkbox

    Dental Referral

  • Ico textbox

    Elimination

  • Ico textbox

    Sleep

  • Ico textbox

    Other

  • Ico statictext

    HEALTH EDUCATION/ANTICIPATORY GUIDANCE: (CHECK ALL COMPLETED)

  • Ico checkbox

    Nutrition/Feeding

  • Ico checkbox

    Weaning

  • Ico checkbox

    Car Seat or Booster Seat

  • Ico checkbox

    Development Benchmarks

  • ...and More!

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More Information


  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
  • Type: Evaluations
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