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This page was last modified on : 12/13/2012

Child Health Notes – Using CHNs

CHN colorful graphic

Formatted Child Health Notes and Instructions

Child Health Note (CHN) files 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 and definition of headings for more information.

Tools and Resources for Office Practice
Child Health Notes
Created Didactic
Adolescent Health History Summary Instructions 6/15/07    
Care Organizing Tools for Families Instructions 7/9/04   12/22/06
Critical Elements of Care Documents for Children with Special Health Care Need Instructions 1/29/01 12/30/02 6/9/06
Decision Tree: Child with Special Needs Referral Process
Option 1
Option 2
Important: Please read Instructions 7/9/07    
Fathers Network Instructions 6/23/06    
Head Start and Related Programs Instructions 4/1/03   6/9/06
Medical Home Instructions 6/11/02   6/9/06
Palliative Care for Children Instructions 7/10/01   6/23/06
Parent to Parent Instructions 3/31/06   6/9/06
NEW! Special Education/Collaboration with Primary Health Care Providers Instructions 1/13/09    
SSI Benefits for Infants and Children with a Disability Instructions 8/27/02   6/9/06
Washington State Medical Home Website Instructions 6/24/05   6/9/06
Well-Child Care for CSHCN Instructions 8/11/08    
WithinReach (formerly Healthy Mothers Healthy Babies) and CHILD Profile Instructions 1/29/01 8/11/06 6/9/06

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Screening and Anticipatory Guidance

Child Health Notes
Created Didactic
Adolescent Immunizations Instructions 6/30/06 8/22/08  
Car Seats for Low Birth Weight Infants Instructions 6/4/04   6/9/06
Developmental Surveillance in Primary Care Instructions 11/15/99 2/15/02 6/9/06
Early Brain Development Instructions 3/1/01 5/27/02 6/9/06
Early Hearing-Loss Detection, Diagnosis, and Intervention Instructions 8/4/04 10/6/06 10/6/06
Health Supervision for Children in Foster Care Instructions 10/23/07    
Hearing Loss in Early Childhood Instructions 11/15/99 10/6/06 10/6/06
Maternal Depression 7/30/02   8/18/06
Newborn Screening Instructions 3/9/07    
Revised: Oral Health for Children - Early Childhood Caries Instructions 1/29/01 1/13/09 1/13/09
Revised: Oral Health Tips for Parents Instructions 6/30/03 1/13/09 1/13/09
Red Flags in Motor Development 1/29/01 4/11/02 6/9/06
Red Flags in Speech and Language Development Instructions 6/30/03   6/9/06
The 2000 CDC Growth Charts Instructions 7/13/01   6/9/06
Vision Screening for Infants and Toddlers Instructions 7/12/01 9/26/02 6/9/06
Youth with Special Health Care Needs: Transition to Adulthood Instructions 6/29/01 12/23/02 12/8/06

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Special Health Concerns:
Early Identification and Diagnosis

Child Health Notes
Created Didactic
Attention-Deficit/Hyperactivity Disorder - ADHD 7/30/02   6/23/06
Assessment of Tall Stature: When to Consider Marfan Syndrome 3/13/00 1/29/01 6/9/06
Asthma in Early Childhood 11/15/99 1/29/01 6/23/06
Autism Spectrum Disorders: Early Identification 2/20/08   2/29/08
Cerebral Palsy 6/20/05   6/23/06
Down Syndrome 11/15/99 5/27/02 6/23/06
Epilepsy: Care Coordination for Children & Youth
See important note in
6/27/08   5/4/09
Fetal Alcohol Syndrome 6/27/00 1/29/01 6/23/06
Gastroesophageal Reflux 7/1/00 1/29/01 6/9/06
Growth Failure in Early Childhood 11/15/99 1/20/04 6/9/06
NEW! Health Management in Children with ASD: Co-Occurring Gastrointestinal Problems and Sleep Disorders 5/27/09    
Overweight in Special Needs Children Instructions 10/28/05   6/9/06
Tube Feedings: Managing the Nutrition Issues 4/6/07    
Velo - Cardio - Facial Syndrome 3/13/00 8/24/00 6/9/06

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Definition of CHN headings

  • Created = Date the CHN was written.
  • Didactic Reviewed = Date CHN content was reviewed and updated.
  • Resource(s) Updated = Date any change was made to any of the CHN resource information (e.g. phone numbers, web addresses, contact persons).


When customizing any CHN for use in your community, we recommend that you check the resource information to assure absolute accuracy. For CHNs greater than 4 years old, you are advised to review the didactic content carefully. If you plan to make changes to didactic content, kindly consult the CHN Project team at info@medicalhome.org.

We encourage you to email us at info@medicalhome.org with suggestions for revisions to content or updates to resource information for any CHN.

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© 2015 Medical Home Partnerships Project, Box 357920, Seattle, WA 98195-7920   Ph: 206.685.1279 Email: info@medicalhome.org