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This page was last modified on : 07/06/2015
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Child Health Note (CHN) files are produced with the assistance of expert professionals in Washington State who develop and edit content specific to their practice specialty. Current topics are those developed within the past 3-4 years. CHNs are in Microsoft Word® file format and can be read by both PC and Macintosh® computers. Instructions are provided for each CHN. Please read disclaimer.

See also Archived CHN Topics for Child Health Notes developed more than 4 years ago.

Sending a CHN for the first time? Consider sending a physician letter with your first issue. Be sure to review the suggested guidline for using CHNs.

Current CHN Topics

Tools and Resources for Office Practice
Screening and Anticipatory Guidance
Special Health Conditions: Early Identification and Diagnosis

Tools and Resources for Office Practice
Child Health Notes
Date Created
or Updated
Decision Tree: Child with Special Needs Referral Process
Option 1
Option 2
Important: Please read Instructions 7/07

Early Intervention Services

Instructions Updated 8/10, written 5/10

New! Formula for Full-Term Infants

Instructions 1/15

Growth Charts

Instructions 4/13
Oral Health Fact Sheets for CSHCN Instructions 10/10
Special Education/Collaboration with Primary Health Care Providers Instructions 1/09
Well-Child Care for CSHCN Instructions 8/08

WithinReach and ParentHelp123

Instructions 3/12

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Screening and Anticipatory Guidance

Child Health Notes
Date Created
or Updated
Developmental Surveillance and Screening in Primary Care
Updated 4/14, written 11/09

Developmental Surveillance and Screening in Primary Care: How to "Wait and See"

Instructions Updated 4/14, written 6/13
Early Brain and Child Development Instructions 7-14
Health Supervision for Children in Foster Care Instructions Updated 8/10, written 10/07


Hearing Screening in Infants and Children

Instructions 6/10
Oral Health for Children - Early Childhood Caries Instructions 1/09
Oral Health Tips for Parents Instructions 1/09
Television and Screen Time Instructions 3/11

Toilet Training for Children with Special Needs

Instructions 7/12

Vision Screening for Infants, Toddlers and Preschoolers

Instructions 9/13

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Special Health Concerns:
Early Identification and Diagnosis

Child Health Notes
Date Created
or Updated
New! Adverse Childhood Experiences (ACEs) 3/15
Autism: The New DSM-5 Definition 7/15
Asthma in Childhood 10/11

Down Syndrome

Fecal Incontinence (Encopresis) In Childhood
Epilepsy: Care Coordination for Children & Youth
See important note in
Fetal Alcohol Syndrome (FAS) and Fetal Alcohol Spectrum Disorders (FASD) 7/11
Fragile X Syndrome and Related Disorders (FXTAS,FX-POI) - Testing for Instructions 3/14
Health Management in Children with ASD: Co-Occurring Gastrointestinal Problems and Sleep Disorders 5/09

Newborn Screening Panel Updates
Obesity in Children with Special Health Care Needs 5/12
Speech Disfluency and Stuttering in Early Childhood Instructions 12/10
Tube Feedings: Managing the Nutrition Issues 12/12


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When customizing any CHN for use in your community, we recommend that you check the resource information to assure absolute accuracy. If you plan to make changes to didactic content, please consult the CHN Project Coordinator.

This list will be updated as additional topics are developed. Recommendations for new topics are welcome. We encourage you to email us at info@medicalhome.org to share your ideas for new CHN topics, suggestions for revisions to content or updates to resource information for any CHN.

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CHN Topics






Physician Letter


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