Child Health Clinical Record Forms

These forms are available for providers to use as a documentation tool for all required checkup components. They should never be given out as a client questionnaire. The forms are recommended for your use by Texas Health Steps; they are not required.

Please note that forms have been updated to reflect July 1, 2018, Texas Health Steps policy changes for ages birth through 12 months and 12 to 18 years old. More details about these policy changes can be found on the Provider Information page.

How to Download Child Health Record Forms

Go to the Texas Health Steps online catalog and click on the “BROWSE only” button. Under Main Menu, click on View Catalog Items, then Child Health Records located on the left navigational pane. Select the record for the appropriate age, then click on the yellow starburst to download a printable and fillable PDF.

How to Use Child Health Clinical Record Forms

Please review these written instructions for using Child Health Record forms. The PDF (portable document format) forms include fillable fields (text fields, check boxes, etc.) so that you can complete the forms using Adobe Reader. Link to File Viewing Information located in the bottom tool bar of this web page for information on downloading Adobe Reader.

Last updated July 2, 2018