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1-4 Years Epsdt Visit Form - Mississippi
1-4 Years Epsdt Visit Form is a legal document that was released by the Mississippi Division of Medicaid - a government authority operating within Mississippi.
FAQ
Q: What is the 1-4 Years EPSDT Visit Form?
A: The 1-4 Years EPSDT Visit Form is a form used in Mississippi for early and periodic screening, diagnosis, and treatment (EPSDT) visits for children between the ages of 1 and 4.
Q: What is the purpose of the 1-4 Years EPSDT Visit Form?
A: The purpose of the 1-4 Years EPSDT Visit Form is to track the health and development of children between the ages of 1 and 4 through regular check-ups and screenings.
Q: Who uses the 1-4 Years EPSDT Visit Form?
A: The 1-4 Years EPSDT Visit Form is used by healthcare providers in Mississippi who are conducting EPSDT visits for children between the ages of 1 and 4.
Q: What information is typically included in the 1-4 Years EPSDT Visit Form?
A: The 1-4 Years EPSDT Visit Form typically includes information about the child's medical history, growth measurements, developmental milestones, screenings for vision and hearing, immunizations, and any needed referrals for further evaluation or treatment.
Form Details:
- The latest edition currently provided by the Mississippi Division of Medicaid;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Mississippi Division of Medicaid.
