Child Health Clinical Record Forms

LINK TO CHILD HEALTH RECORD FORMS then click on the “BROWSE only” icon - Under Main Menu click on the View Catalog Items link then click on Child Health Records located on the left navigational pane.

These forms are intended for use as a documentation tool for all required checkup components and should never be given out as a client questionnaire. The forms are recommended for your use by Texas Health Steps; they are not required.

Please note that forms for ages 12-18 years old have been updated to reflect February 1, 2017, Texas Health Steps policy changesLink to the Provider Information page for complete information on changes.

The Portable Document Format (PDF) forms include form fill fields (for example; text fields, check boxes) so that you can complete them online using Adobe Acrobat. Link to File Viewing Information located in the bottom tool bar of this web page for information on downloading Adobe Reader.

Instructions for Child Health Clinical Record Forms


Last updated January 31, 2017