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Standard Medical Record Forms (SMRFs)

Standard Medical Record Forms

Additional training on how to fill out the SMRFs

Promoting a standard of pediatric preventive health care that all children deserve. . .

The curriculum and resources presented here are designed to help health professionals:

bullet image Ensure optimal growth and development in all children and teens
bullet image Provide all required HealthCheck/EPSDT services at each preventive health visit
bullet image Record and document all services provided

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You may enter the curriculum at any time! Please take a moment to log in before taking each module review. (Need help?)


What's New?

Resources and Trainings on Fluoride Varnishes

Youth Violence Prevention Resources: Responding to the death of Lawrence King, an 8th-grader who was killed at his school as a victim of a hate crime, the DC Medical Assistance Administration is providing this extensive resource list, including information on bullying, firearms, gangs, media violence, school violence, and information for victims of violent crimes.

Every Kid Counts in the District of Columbia: 14th Annual Fact Book 2007 released by the Urban Institute. This report tracks over 50 data indicators and is organized to reflect the 6 citywide goals for children and youth in the District: children are ready for school; children and youth succeed in school; children and youth are healthy and practice healthy behaviors; children and youth engage in meaningful activities; children and youth live in healthy stable, and supportive families; and all youth make a successful transition to adulthood.
Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) updated by the American Academy of Pediatrics (Winter 2007/Spring 2008). (Note: the AAP Periodicity Schedule differs slightly from the DC Periodicity Schedule. Continue to use the DC schedule for HealthCheck visits). Read a highlight of the new additions.
Bright Futures: 3rd Edition Guidelines now published by the American Academy of Pediatrics. The new guidelines are being integrated into the HealthCheck Provider Education System to ensure training on the latest evidence-based practices! Read more.
Developmental Delay Resource Directory Referrals:
Georgetown University Resources
The impact on young people and families of the tragic events at Virginia Tech University presents many challenges to educators, health professionals, and others. Georgetown University's guide, Reaching Out to Children and Youth Following Disasters: Selected Resources, provides resources on coping with injury; loss of loved ones; and other trauma.
Read the AAP policy statement, Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening, developed by the Council on Children With Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee and Medical Home Initiatives for Children With Special Needs Project Advisory Committee.
Read expanded Guidelines on Dental Health (Education for Providers), including the DC HealthCheck dental periodicity schedule (PDF), information on the dental inspection/evaluation, referrals, anticipatory guidance and patient education topics, documenting the dental evaluation and oral assessment, and additional resources.
New information available on Reducing Language Barriers, including downloads of translated materials and 10 tips for working with professional interpreters.

2007 Recommended Childhood and Adolescent Immunization Schedule Released!

Printable schedule (2 page pdf; includes catch-up immunization schedule)

Spanish-language printable schedule (pdf)

Palm Handheld schedule (requires Palm OS® 3.1 or higher and 400KB of memory)


Health Check Curriculum
Online and Print Resources
Promote pediatric preventive health care standards by meeting core EPSDT components (health history, physical exam, screening services, laboratory tests, immunizations, and health education/anticipatory guidance)
Integrate DC HealthCheck periodicity with EPSDT regulations
Incorporate Bright Futures guidance, questions, and health education
Document services appropriately to increase the likelihood of reimbursement
Earn CME credits through Georgetown University
HealthCheck Periodicity Schedule and Manual
ACIP's Recommended Childhood and Adolescent Immunization Schedule and CDC's Growth Charts
Bright Futures Guidelines and complementary materials
Bibliographies and online EPSDT resources, including CMS and Medicaid information
Reference and contact lists, Web site links, topical index, and other materials
A Shared Vision

Development of this site was conducted by Bright Futures at Georgetown University in partnership with the DC Department of Health's Medical Assistance Administration and DC's managed care organizations. The project reflects an ongoing commitment to promote the health of children and families in DC's diverse communities. It is hoped that this site will serve as a model program for other states in addressing their EPSDT needs.


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