Institute for
Health Policy

College of Human Medicine

Well child health examination forms that meet Medicaid EPSDT policy and the AAP periodicity schedule may be found on the AAP/Bright Futures web site at: https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/default.aspx.

The Bright Futures Tool and Resource Kit provide forms and tools for health care providers, patients, and families to complete before, during, or after well-child visits. Core Tools include: Previsit Questionnaires, Visit Documentation Forms, and Parent/Patient Education Handouts for the following age categories:

  • Infancy (Prenatal to 11 Months)
  • Early Childhood (1 to 4 Years)
  • Middle Childhood (5 to 10 Years)
  • Adolescence (11 to 21 Years)

Supplemental tools are also available.

Note: The Bright Futures Tool and Resource Kit include materials available for download for review and reference purposes only. For any other use, to make multiple copies of specific items, or to incorporate forms into an Electronic Medical Record System, please contact aapsales@aap.org.

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Resources