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.
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.
Form Details:
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.