59 MDW Form 178 Screening Questionnaire 12-23 Month Well Visit

What Is 59 MDW Form 178?

This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on February 2, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the 59 MDW Form 178?
A: The 59 MDW Form 178 is a screening questionnaire for the 12-23 month well visit.

Q: What is a well visit?
A: A well visit is a routine check-up to monitor a child's growth and development.

Q: Why is a screening questionnaire used during a well visit?
A: A screening questionnaire helps healthcare providers assess a child's development and identify any potential issues.

Q: What age group is the screening questionnaire for?
A: The screening questionnaire is for children between 12 and 23 months old.

Q: Is the screening questionnaire mandatory?
A: It may vary, but in most cases, the screening questionnaire is a standard part of the well visit process.

Q: What kind of questions are included in the screening questionnaire?
A: The questions in the screening questionnaire cover various areas such as language development, motor skills, and social interaction.

Q: Who should fill out the screening questionnaire?
A: The questionnaire should be filled out by the child's parent or caregiver.

Q: What happens if any issues are identified during the screening questionnaire?
A: If any concerns are raised, the healthcare provider will further assess the child and determine the appropriate next steps.

Q: How often should a child have a well visit?
A: Generally, well visits are recommended at specific intervals, such as every 3 months during the first year and then annually thereafter.