Texas Health Steps Provider Forms

Child Health Clinical Record Forms - THSteps Child Health Clinical Record forms have been updated to reflect February 1, 2017, THSteps policy changes.


Texas Health Steps Medical Checkup Forms

Providers may order LAB supplies by calling 512-776-7661 or online at http://www.dshs.texas.gov/lab/mrs_forms.shtm#supplies.

THSteps Specimen Collection and Handling Guidance


Texas Health Steps Provider Outreach Referral Form


Developmental and Mental Health Screening

Ages and Stages

Bright Futures - Prevention and health promotion for infants, children, adolescents, and their families.

M-CHAT™ or M-CHAT-R/F™  Modified Checklist for Autism in Toddlers, Revised with Follow-Up

PEDS

Pediatric Symptom Checklist (PSC-17)

Pediatric Symptom Checklist (PSC-35)

Pediatric Symptom Checklist for Youth (Y-PSC)

Patient Health Questionnaire (PHQ-9)

Car, Relax, Alone, Forget, Family, and Trouble Checklist (CRAFFT)

ECI Referral Form - Access the ECI Referral Form developed by ECI and the Texas Pediatric Society.


Growth Charts

Texas Health Steps recommends that health care providers:

 

Last updated October 2, 2017