Form ACH-91 Health Risk Assessment - Child 12 Months to 6 Years - Kentucky

Form ACH-91 Health Risk Assessment - Child 12 Months to 6 Years - Kentucky

What Is Form ACH-91?

This is a legal form that was released by the Kentucky Department for Public Health - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ACH-91?
A: Form ACH-91 is a Health Risk Assessment form specifically designed for children aged 12 months to 6 years in the state of Kentucky.

Q: Why is Form ACH-91 used?
A: Form ACH-91 is used to assess the health risks and needs of children in this age group and to determine if further medical intervention or services are necessary.

Q: Who is required to fill out Form ACH-91?
A: Parents or legal guardians of children aged 12 months to 6 years are typically required to fill out Form ACH-91.

Q: What information is required on Form ACH-91?
A: Form ACH-91 collects information about the child's health history, developmental milestones, and any existing medical conditions or concerns.

Q: Is Form ACH-91 confidential?
A: Yes, the information provided on Form ACH-91 is confidential and protected by privacy laws.

Q: What happens after Form ACH-91 is submitted?
A: After Form ACH-91 is submitted, the child's health information is reviewed by healthcare professionals who may recommend further screenings, assessments, or interventions based on the results.

Q: Can I request a copy of Form ACH-91?
A: Yes, you can usually request a copy of Form ACH-91 from the healthcare provider or agency that administered the assessment.

Q: What if I have more questions about Form ACH-91?
A: If you have more questions about Form ACH-91, you can contact the Kentucky Department for Public Health or your healthcare provider for further assistance.

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Form Details:

  • Released on September 1, 1998;
  • The latest edition provided by the Kentucky Department for Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ACH-91 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Public Health.

Download Form ACH-91 Health Risk Assessment - Child 12 Months to 6 Years - Kentucky

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