EPSDT / Healthchek

Use these forms for appointments related to Early Periodic Screening, Diagnosis, and Treatment (EPSDT)  / Healthchek.

• Newborn
• 4 weeks
• 2 months
• 4 months
• 6 months
• 9 months
• 12 months
• 15 months
• 18 months
• 24 months
• 30 months
• 3 years
• 4 years
• 5 years
• 6-10 years
• 11-14 years
• 15-20 years