Use links below to download Child Health Clinical Record Forms. These forms are intended for use as a documentation tool for all required checkup components and should never be given out as a client questionnaire. Instructions are also available. The forms are recommended for your use by Texas Health Steps; they are not required.
The Portable Document Format (PDF) forms include form fill fields (for example; text fields, check boxes) so that you can complete them online using an Acrobat product such as Adobe Reader, Acrobat 3D, Acrobat Professional, or Acrobat Standard. Link to File Viewing Information located in the bottom tool bar of this web page for information on downloading Adobe Reader.
Instructions for Child Health Clinical Record Forms [PDF 4.29MB] Revised April 2013
Child Health History Form ECHR-1 [PDF 1.33MB]
All Child Health Clinical Record Forms shown below were revised April and May 2013