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  • Staying Healthy Asssessment In The English Language. Staying Healthy Assessment - Dhcs Ca

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Patient Number Plan Name/Number If patient stamp not used, write in Patient and Plan Name/Number Child s name (first, last) Date of birth Sex Today s date Male Female Your name Relationship to child Parent Relative Reading: Interpreter: Guardian Friend Yes No Yes No Other You and your child s health care team can work together towards better health. Please answer these questions as best you can. You may check ( ) Skip if you.

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A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.

The main components of a health assessment include inspection, palpitation, percussion, auscultation, and neurological examination.

All Gold Coast Health Plan (GCHP) members are required to have a Staying Healthy Assessment (SHA) within 120 days of enrollment. The SHA can help providers identify high-risk behavior, set priorities for behavior change and refer patients for appropriate services.

STAYING HEALTHY ASSESSMENT (SHA)

Healthy movement may include walking, sports, dancing, yoga, running or other activities you enjoy. Eat a well-balanced, low-fat diet with lots of fruits, vegetables and whole grains. Choose a diet that's low in saturated fat and cholesterol, and moderate in sugar, salt and total fat.

Patients may be asked about: Personal behaviors. Healthy eating. Physical activity. Sexual practices. ... Risks. Tobacco use. Stress. ... Life-changing events. Marriage. Children. ... Health goals and priorities. Confidence or ability to manage their own health. Overall health or well being. Quality of life. Pain.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232