ccnc provider tools site inventory updated oct … provider tools site inventory updated oct 2014 1...
Post on 30-Mar-2018
227 Views
Preview:
TRANSCRIPT
CCNC Provider Tools Site Inventory Updated Oct 2014 1Pediatric Tool List Link Description
ADHD: Med Info - Types, Dosage, Side Effects
(AAP/NICHQ)
http://www.communitycarenc.org/media/tool-
resource-files/adhd-med-info-types-dosage-side-
effects-aapnichq.pdfNICHQ/ AAP - 2-page medication management
information
ADHD: Parent Initial (Vanderbilt- AAP/NICHQ) -
English
http://www.ncfahp.org/data/sites/1/media/imag
es/pdf/03VanAssesScaleParent%20Infor.pdf Parent initial
ADHD: Parent Initial (Vanderbilt- AAP/NICHQ) -
Spanish
http://gtownpeds.com/uploads/DSC_Sistema_NI
CHQ_P.F.0506.pdf Parent initial -Spanish
ADHD: Parent Follow-up (Vanderbilt Follow-up
AAP/NICHQ) - English
http://www.ncfahp.org/data/sites/1/media/imag
es/pdf/05VanFollowUp%20Parent%20Infor.pdf Parent follow up
ADHD: Parent Follow-up (Vanderbilt AAP/NICHQ) -
Spanish
http://gtownpeds.com/uploads/DSC_NICHQ_Seg
uimento_Evaluacion_P.F.0506.pdf Parent follow up- Spanish
ADHD: Teacher Initial (Vanderbilt - AAP/NICHQ) -
English
http://www.ncfahp.org/data/sites/1/media/imag
es/pdf/04VanAssesScaleTeachInfor.pdf Teacher initial
ADHD: Teacher Follow-up (Vanderbilt-
AAP/NICHQ) - English
http://www.ncfahp.org/data/sites/1/media/imag
es/pdf/06VanAssessFollowUpTeachInfor.pdf Teacher follow up
ADHD: Vanderbilt Scoring Instructions
(AAP/NICHQ)
http://www.ncfahp.org/data/sites/1/media/imag
es/pdf/07Scoring%20Instructions.pdf Scoring Vanderbilt
Antipsychotics in Children - A+ KIDS: Keeping It
Documented for Safety http://www.documentforsafety.org/pub/
Online registry designed to increase the safety
and efficacy of antipsychotics prescribed to NC
Medicaid children through baseline and follow-
up monitoring. (CCNC and NC Medicaid)
Antipsychotics: Questions to Ask Prescriber
http://www.ncfahp.org/Data/Sites/1/icare-
resources/foster-care/questionstoaskprescriber-
final.pdf
Antipsychotics Pediatric "Cheat Sheet" (NCFAHP)
http://www.ncfahp.org/Data/Sites/1/f3-
fostercare-med-cheat-sheetantipsychotic.pdf
ADHD
Antipsychotics
1
CCNC Provider Tools Site Inventory Updated Oct 2014 2
Pediatric Behavioral Health – Guide to
Psychopharmacology for Pediatricians
http://web.jhu.edu/pedmentalhealth/Psychopha
rmacolog%20use.htmlfrom the Johns Hopkins Center for Mental
Health Services in Pediatric Primary Care
Anxiety - Screen for Childhood Anxiety Related
Disorders (SCARED), Parent Version, Ages <8
http://psychiatry.pitt.edu/sites/default/files/Doc
uments/assessments/SCARED%20Parent.pdf
Screen for separation anxiety, social phobia,
school phobia and physical symptoms of
anxiety.
Pediatric Anxiety - Screen for Childhood Anxiety
Related Disorders (SCARED), Child Version, ages
8-11
http://www.psychiatry.pitt.edu/sites/default/file
s/Documents/assessments/SCARED%20Child.pdf
Screen for separation anxiety, social phobia,
school phobia and physical symptoms of
anxiety.
Anaphyllaxis Action Plan (American Acad of
Allergy, Asthma & Immunology) - English
http://www.aaaai.org/Aaaai/media/MediaLibrary
/PDF%20Documents/Libraries/Anaphylaxis-
Emergency-Action-Plan.pdf To go with patient to school, camp, or institution
Anaphyllaxis Action Plan (American Acad of
Allergy, Asthma & Immunology) - Spanish
http://www.aaaai.org/Aaaai/media/MediaLibrary
/PDF%20Documents/Spanish/Anaphylaxis-
Emergency-Action-Plan-Spanish.pdf To go with patient to school, camp, or institution
Asthma 1a - Initial Visit Instructions and Key Steps
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/asthma1a-initial-visit-instructions-
key-steps.pdf
Asthma 1b: Follow Up Visit Instructions and Key
Steps (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/asthma1b-follow-visit-instructions-
key-steps-.pdf
Asthma 2 - Facts About Asthma (CCNC) English &
Spanish
http://www.communitycarenc.org/media/tool-
resource-files/asthma-2-facts-about-asthma-ccnc-
english-spanish.pdf
Asthma 3 - Asthma Triggers (CCNC) English &
Spanish
http://www.communitycarenc.org/media/tool-
resource-files/asthma-3-asthma-triggers-ccnc-
english-spanish.pdf
Asthma 4 - Medication Photos Posters (CCNC)
English & Spanish
http://www.communitycarenc.org/media/tool-
resource-files/asthma-4-medication-photos-
posters-ccnc-english-sp.pdf
Asthma 5 - Medication Photos Poster for Young
Children (CCNC) English & Spanish
http://www.communitycarenc.org/media/tool-
resource-files/asthma-5-medication-photos-
poster-young-children-c.pdf
Asthma 6 - Nebulizer Poster for Young Children
(CCNC) English & Spanish
http://www.communitycarenc.org/media/tool-
resource-files/asthma-6-nebulizer-poster-young-
children-ccnc-engl.pdf
Anxiety
Asthma/Allergy
2
CCNC Provider Tools Site Inventory Updated Oct 2014 3
Asthma Action Plan (CCNC/NCAP/AANC) Print and
Write On - English
http://www.communitycarenc.org/media/tool-
resource-files/nc-asthma-action-plan-nc-dhhsdpi-
english.pdf
Asthma Action Plan (CCNC/NCAP/AANC) Print and
Write On - Spanish
http://www.communitycarenc.org/media/tool-
resource-files/nc-asthma-action-plan-nc-dhhsdpi-
spanish.pdf
Asthma Action Plan: How to Complete Written Plan
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/asthma-action-plan-how-complete-
written-plan.pdf
Asthma Action Plan: Instructions for Filling In
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/asthma-action-plan.pdf
Enter personal best or expected peak flow at top
left and the other peak flows auto-fill. Enter
"green zone" meds and "yellow zone" autofills so
you can just increase frequency if appropriate.
Asthma Action Plan: Type into PDF, Save and Print
(CCNC) - English
http://www.communitycarenc.org/media/tool-
resource-files/asthma-action-plan-one-page-
version.pdfJust the 1 page form, no instructions attached.
Use IE, Firefox or Chrome browsers.
Asthma Control Test age 4-11 - English & Spanish
http://www.communitycarenc.org/media/tool-
resource-files/childhood-asthma-control-test-
ages-4-11-english-sp.pdf
Asthma Control Test age 12-Adult (QualityMetrics) -
English & Spanish
http://www.communitycarenc.org/media/tool-
resource-files/asthma-control-test-ages-12-and-
over-english-spani.pdf
Constipation (Ped) Treatment and Referral
Guidelines (CCNC/CHACC)
http://communitycarenc.com/media/files/pediat
ric-constipation-guidelines.pdf
Constipation (Ped) - Guide for Parents and
Families (CCNC/CHACC)
http://www.communitycarenc.org/media/files/ki
ds-and-constipation-guide-parents-and-
families.pdf
Constipation (Ped) - Home Cleanout Guide for
Parents and Families (CCNC/CHACC)
http://www.communitycarenc.org/media/files/h
ome-clean-out-guide-parents-and-families.pdfDirections for home, Provider must check off
appropriate dose
Diabetes: A1c Stoplight Graphic (CCNC) - English
http://www.communitycarenc.org/media/tool-
resource-files/diabetes-a1c-stoplight-graphic-
ccnc-english.pdf Discussion tool about A1c
Constipation
Diabetes
3
CCNC Provider Tools Site Inventory Updated Oct 2014 4
Diabetes: A1c Stoplight Graphic (CCNC) - Spanish
http://www.communitycarenc.org/media/tool-
resource-files/diabetes-a1c-stoplight-graphic-
ccnc-spanish.pdf Discussion tool about A1c
Diabetes: Adjusting Insulin Doses (Endocrine
Society) http://www.accurateinsulin.org/for-doctors/
Diabetes: Self-Management Goal Sheet
http://www.ccwjc.com/Forms/Diabetes/Patient
%20Education/Diabetes%20Self%20Care%20Goal
s.pdf
Foster Care Comprehensive Visit Summary
http://www.ncfahp.org/Data/Sites/1/icare-
resources/foster-care/foster-care-comprehensive-
assessment-report-streamlined-jan-2013.pdf From NCFAHP
Foster Care One-Pager (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/foster-care-one-pager.pdfFoster Care Resources for Care (NC Foundation
for Advanced Health Programs) http://www.ncfahp.org/foster-care.aspx
Pediatric Functional Abd Pain - Differential
Diagnoses- Conditions and Criteria
(CCNC/CHACC)
http://www.communitycarenc.org/media/files/p
ed-ab-pain-guidelines-rome-iii.pdf
Developed in a collaboration of pediatric
gastroenterologists from the Departments of
Pediatrics at Carolinas Health Care, Duke
University, ECU, UNC, and Wake Forest
University and PCPs from across NC
Pediatric Functional Abd Pain - Primary Care
Evaluation and Management (CCNC/CHACC)
http://www.communitycarenc.org/media/files/p
ed-ab-pain-guidelines.pdf
Pediatric Functional Abd Pain - Tips for Decision
Making in Primary Care (CCNC/CHACC)
http://www.communitycarenc.org/media/files/p
ed-ab-pain-provid.pdf
Pediatric Functional Abd Pain - Management
Algorithm (CCNC/CHACC)
http://www.communitycarenc.org/media/files/p
ed-ab-pain-guidelines-algorithm.pdf
Pediatric Chronic Abd Pain - Symptom history
checklist (CCNC/CHACC)
http://www.communitycarenc.org/media/files/c
hronic-abdominal-pain-checklist.pdf
Pediatric Functional Abd Pain - Parent information
(NASPGHAN) - English
http://www.communitycarenc.org/media/files/f
unctional-ab-pain-child-eng.pdf
Pediatric Functional Abd Pain- Parent information
(NASPGHAN) - Spanish
http://www.communitycarenc.org/media/files/f
unctional-ab-pain-child-span.pdf
Functional Abdominal Pain
Foster Care
4
CCNC Provider Tools Site Inventory Updated Oct 2014 5
GERD (Ped) - Treatment and Referral Guidelines
(CCNC/CHACC)
http://communitycarenc.com/media/files/pediat
ric-gastroesophageal-reflux-guidelines.pdf
Developed in a collaboration of pediatric
gastroenterologists from the Departments of
Pediatrics at Carolinas Health Care, Duke
University, ECU, UNC, and Wake Forest
University and PCPs from across NC
GERD (Ped) Parents Take-home Guide to GERD
(CCNC/CHACC) - English
http://www.communitycarenc.org/media/files/ki
ds-and-constipation-guide-parents-and-
families.pdf
GERD (Ped) Parents Take-home Guide to GERD
(CCNC/CHACC) - Spanish
http://www.communitycarenc.org/media/tool-
resource-files/gerd-parent-guide-spanish-
chacc.pdf
Fever: Ibup,Tylenol Dosing Chart by Weight
(Piedmont Health Services) - English & Spanish
http://www.communitycarenc.org/media/tool-
resource-files/fever-ibup-tylenol-dosing-chart-
weight-piedmont-he.pdf
Need to circle the weight-appropriate dose for
the patient at MD visit and use teach-back to
make sure understood.
HIV: Fact Sheets, Resources, FAQs
(aidsinfonet.org) - English, Spanish and Nepali http://aidsinfonet.org/printing-downloading
Lots of info from New Mexico AIDS Education
and Training Center funded by FDA and
National Library of Medicine.
STDs Current Treatment Guidelines (CDC) http://www.cdc.gov/std/treatment/default.htmRegularly updated website with current
guidelines for treatment of STDs.
Obesity - Color-Coded BMI Chart (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartBoys.pdf
Obesity - Color-Coded BMI Chart (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartGirls.pdf
Obesity: BMI Percentile Coding and Billing (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/obesity-bmi-percentile-coding-and-
billing-ccnc.pdf
Weight Loss: Children (EatSmartMoveMore NC) -
English & Spanish
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/PediatricObesityTools.htmlPediatric obesity prevention and treatment
algorithms - physician tools for management
Weight Loss: Find a Local Program (NC Alliance
for Healthy Communities)
http://www.ncahc.org/weight-management-
registry-north-carolina.htmlHelps you to find weight management programs
for your patients by zip code or county.
Obesity
Gastroesophageal Reflux/GERD
Infectious Disease
5
CCNC Provider Tools Site Inventory Updated Oct 2014 6
Weight Loss: Prescription 5-3-2-1
(EatSmartMoveMore NC) - English
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/PrescripPadBW.pdf
Prescription for 5 servings fruit/veg, 3
meals/day, 2 hours or less screen-time, 1 hour
or more of activity.
Weight Loss: Prescription 5-3-2-1
(EatSmartMoveMore NC) - Spanish
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/PrescripPadSpBW.pdf
Prescription for 5 servings fruit/veg, 3
meals/day, 2 hours or less screen-time, 1 hour
or more of activity.
Sickle Cell Care Guidelines Oriented by Problem
(CDC/Grady Health System)
http://scinfo.org/problem-oriented-clinical-
guidelines/
Guidelines for treating over 40 syndromes
common in SC patients, developed with US
DHHS funds and in use at Grady SC Center
Sickle Cell Care: Few BASIC Primary Care
Guidelines (CDC/NHLBI)
http://www.cdc.gov/NCBDDD/sicklecell/recomm
endations.html
Few basic evidence based pearls that should be
known by all providers treating patients with
Sickle Cell
Speech & Language RED FLAGS for Referral
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/speech-and-language-red-flags-
referral-ccnc.pdf
Speech Language Pathology Primer (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/speech-language-pathology-primer-
ccnc.pdf
Adolescent Substance Abuse Screening - CRAFFT
- Spanish
http://www.ceasar-
boston.org/CRAFFT/pdf/CRAFFT_Spanish.pdfFrom Center for Adolescent Substance Abuse
Research (CeASAR)
Adolescent Substance Abuse Screening - CRAFFT
- English
http://www.ceasar-
boston.org/CRAFFT/pdf/CRAFFT_English.pdfFrom Center for Adolescent Substance Abuse
Research (CeASAR)
Alcoholism: Find AA Meeting/Chapter by Zip Code
(Alcoholics Anonymous) (English & Spanish
Meetings)
http://www.aa.org/pages/en_US/find-aa-
resources
Find local chapter by zip code. Call local chapter
for schedule of local meetings and other
information. Meetings in Spanish are available in
most parts of NC.
Tobacco Cessation: 800-QUITNOW One Page
Flier (NC DHHS) - Spanish
http://www.quitlinenc.com/docs/patient-
resources/quitlinenc-fact-sheet---
spanish.pdf?sfvrsn=6 One page 1800QUITNOW flier in Spanish
Tobacco Cessation: Resources for your Practice
(NC DHHS Quitline)
http://www.quitlinenc.com/health-
professionals/practice-resources/resources-for-
your-practice Posters, fliers, chart of NRT, etc
Tobacco Cessation
Sickle Cell Disease
Substance/Alcohol
Speech & Language
6
CCNC Provider Tools Site Inventory Updated Oct 2014 7
Tobacco Cessation: Quitline Fax Referral Form
(NC DHHS) - English
http://www.communitycarenc.org/media/tool-
resource-files/tobacco-cessation-quitline-fax-
referral-form-nc-dh.pdfFax referral form asking Quitline to call the
patient.
Tobacco Cessation: 800-QUITNOW One Page
Flier (NC DHHS) - English
http://www.quitlinenc.com/docs/patient-
resources/quitlinenc-fact-sheet.pdf?sfvrsn=6 One page flier with 1800-QUITNOW info.
ABCD (Assuring Better Child health and
Development) - Screening Overview
http://www.communitycarenc.org/media/tool-
resource-files/abcd-and-screening-chart.pdfABCD- Assuring Better Child health and
Development - Screening overview
Anticipatory Guidance and Well Visit Forms (Bright
Futures)
http://brightfutures.aap.org/tool_and_resource_
kit.html
Dental - Varnishing and Oral Health (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/pediatrics-oral-health.pdf
Hearing - Early Hearing Loss Detection and
Intervention (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/early-hearing-detection-and-
intervention-goals.pdf
Hearing - Hearing Assessments Age 0-5 years
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/hearing-assessments.pdf Hearing Assessments
Hearing - Newborn Hearing Screening: What it is
and What to do (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/newborn-hearing-screening.pdf Newborn Hearing Screening
Immunizations for 0-6 yr (CDC) - English & Spanish
http://www.cdc.gov/vaccines/schedules/easy-to-
read/child.htmlEasy to read schedule-- better for lower literacy
populations than prior versions.
Newborn Screening - NC State Lab of Public Health
http://slphreporting.ncpublichealth.com/lims/Cli
nicalLims/Login.aspx
Pediatrics: RSV Prophyllaxis-Synagis-Medicaid
http://www.documentforsafety.org/pub/resourc
es?context=synagisPolicy and forms for obtaining RSV prophyllaxis
for at-risk patients.
Postpartum Depression: Edinburg Screening
Questionnaire - English
http://www.communitycarenc.org/media/tool-
resource-files/post-partum-depression-edinburg-
screening-english.pdf
0-12 Months
Well Care
7
CCNC Provider Tools Site Inventory Updated Oct 2014 8
Postpartum Depression: Edinburg Screening
Questionnaire - Spanish
http://www.communitycarenc.org/media/tool-
resource-files/post-partum-depression-edinburg-
spanish.pdf
Postpartum/ Maternal Depression - What to Do
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/ccnc-pediatrics-maternal-
depression-screening.pdf
Preventive Health - Recommendations for Pediatric
Preventive Health
http://www.ncfahp.org/Data/sites/1/media/ima
ges/pdf/CHIP-
RecommendationsPedsHealthCare.pdf
Well Child/Health Check Billing Guide (NC
Medicaid)
http://www.ncdhhs.gov/DMA/healthcheck/HC-
Billing_Guide_2013.pdf
ABCD (Assuring Better Child health and
Development) - Screening Overview
http://www.communitycarenc.org/media/tool-
resource-files/abcd-and-screening-chart.pdf
ABCD Positive Screenings and How to Refer
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/ccnc-pediatrics-abcd-referrals.pdf
ABCD Referral to CDSA - Age 0-3
http://www.communitycarenc.org/media/tool-
resource-files/abcd-referral-cdsa-age-0-3.pdf
ABCD Referral/Notification to DPI - Age 3-5
http://www.communitycarenc.org/media/tool-
resource-files/abcd-referralnotification-dpi-age-3-
5.pdf
ABCD Standard CDSA/DPI Feedback Form
http://www.communitycarenc.org/media/tool-
resource-files/abcd-standard-cdsadpi-feedback-
form.pdf
Anticipatory Guidance and Well Visit Forms (Bright
Futures)
http://brightfutures.aap.org/tool_and_resource_
kit.html
Autism – M-CHAT - English
http://www2.gsu.edu/~psydlr/Diana_L._Robins,_
Ph.D._files/M-CHAT.pdf
Autism - M-CHAT - Spanish
http://www2.gsu.edu/~psydlr/Diana_L._Robins,_
Ph.D._files/Spanish_M-CHATrev.pdf
1-5 Years
8
CCNC Provider Tools Site Inventory Updated Oct 2014 9
Autism - M-CHAT with follow up questions-25 pgs -
English
http://www2.gsu.edu/~psydlr/M-
CHAT/Official_M-CHAT_Website_files/M-CHAT-
R_F.pdf
Modified Checklist for Autism in Toddlers is a
free (for clinical and research purposes)
screening tool for autism. This tool links to a
page offering the M-CHAT screening tool in
English and 40+ other languages. The scoring
and instructions appear as if they would take
more than the "2 minutes." -- Link revised March
2014 HB
Autism - M-CHAT (website, many languages
available)
http://www.mchatscreen.com/Official_M-
CHAT_Website.html
Autism - Referral and Screening One-Pager
http://www.communitycarenc.org/media/tool-
resource-files/ccnc-pediatrics-autism-
screening.pdf
Blood Pressure Table (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BPTableBoys.pdf
Blood Pressure Table – (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BPTableGirls.pdf
Dental - Varnishing and Oral Health (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/pediatrics-oral-health.pdf
Hearing - Hearing Assessments Age 0-5 years
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/hearing-assessments.pdf Hearing Assessments
Kindergarten Physical (Approved by NC DPI and
DHHS) - English
http://www.ncdhhs.gov/dph/wch/doc/aboutus/
KHA_1-11.pdf Fill out then print or vice versa
Kindergarten Physical (Approved by NC DPI and
DHHS) - Spanish
http://www.ncdhhs.gov/dph/wch/doc/aboutus/S
panish_KHA1-11.pdf Fill out then print or vice versa
Lead Exposure & Poisoning in Young Children
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/lead-exposure-poisoning-young-
children-ccnc.pdf
Obesity - Color-Coded BMI Chart (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartBoys.pdf
Obesity - Color-Coded BMI Chart (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartGirls.pdf
9
CCNC Provider Tools Site Inventory Updated Oct 2014 10
Speech & Language RED FLAGS for Referral
(CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/speech-and-language-red-flags-
referral-ccnc.pdf
Speech Language Pathology Primer (CCNC)
http://www.communitycarenc.org/media/tool-
resource-files/speech-language-pathology-primer-
ccnc.pdf
Well Child/Health Check Billing Guide (NC
Medicaid)
http://www.ncdhhs.gov/DMA/healthcheck/HC-
Billing_Guide_2013.pdf
ABCD (Assuring Better Child health and
Development) - Screening Overview
http://www.communitycarenc.org/media/tool-
resource-files/abcd-and-screening-chart.pdf
Blood Pressure Table (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BPTableBoys.pdf
Blood Pressure Table – (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BPTableGirls.pdf
Obesity - Color-Coded BMI Chart (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartBoys.pdf
Obesity - Color-Coded BMI Chart (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartGirls.pdf
Screening - Pediatric Symptom Checklist (parent of
age 5-16) - English
http://www.massgeneral.org/psychiatry/assets/P
SC-35.pdf
Screening - Pediatric Symptom Checklist (parent of
age 5-16) - Spanish
http://www.massgeneral.org/psychiatry/assets/P
SC_Spanish_1.pdf
Screening - Pediatric Symptom Checklist Scoring
Instructions
http://www.massgeneral.org/psychiatry/services
/psc_scoring.aspx
Well Child/Health Check Billing Guide (NC
Medicaid)
http://www.ncdhhs.gov/DMA/healthcheck/HC-
Billing_Guide_2013.pdf
ABCD (Assuring Better Child health and
Development) - Screening Overview
http://www.communitycarenc.org/media/tool-
resource-files/abcd-and-screening-chart.pdf
11-21 Years
6-10 Years
10
CCNC Provider Tools Site Inventory Updated Oct 2014 11
Blood Pressure Table (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BPTableBoys.pdf
Blood Pressure Table – (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BPTableGirls.pdf
Depression - PHQ-9 Depression Screen - English
http://www.phqscreeners.com/pdfs/02_PHQ-
9/English.pdf
Depression - PHQ-9 Depression Screen - Spanish
http://www.phqscreeners.com/pdfs/02_PHQ-
9/PHQ9_Spanish%20for%20the%20USA.pdf
Depression - PHQ-9 Depression Screen, Scoring
Instructions
http://brightfutures.aap.org/pdfs/Other%203/PH
Q-9%20Instructions%20for%20Use.pdf
Obesity - Color-Coded BMI Chart (Boys)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartBoys.pdf
Obesity - Color-Coded BMI Chart (Girls)
http://www.eatsmartmovemorenc.com/Pediatri
cObesityTools/Texts/BMIChartGirls.pdf
Screening - Guidelines for Adolescent Preventive
Services (GAPS), ages 11-14 - English
http://www.capefearpediatrics.com/pdf/522781-
younger%20adolescent%20english.pdf
Screening - Guidelines for Adolescent Preventive
Services (GAPS), ages 11-14 - Spanish
http://www.capefearpediatrics.com/pdf/522777-
younger%20adolescent%20spanish.pdf
Screening - Guidelines for Adolescent Preventive
Services (GAPS), ages 15-21 - English
http://www.capefearpediatrics.com/pdf/522778-
older%20adolescent%20english.pdf
Screening - Guidelines for Adolescent Preventive
Services (GAPS), ages 15-21 - Spanish
http://www.capefearpediatrics.com/pdf/522779-
older%20adolescent%20spanish.pdf
Screening - Guidelines for Adolescent Preventive
Services (GAPS), Parent/Guardian - English
http://www.uvpediatrics.com/Docs/GAPSParent
eng.pdf
Screening - Guidelines for Adolescent Preventive
Services (GAPS), Parent/ Guardian - Spanish
http://www.capefearpediatrics.com/pdf/GAPS%
20-%20Parent%20Sp.pdf
11
CCNC Provider Tools Site Inventory Updated Oct 2014 12
Screening – Pediatric Symptom Checklist (Youth
Self-Report, age 11-18+) - English
http://www.massgeneral.org/psychiatry/assets/P
SCY-35_English.PDF
Screening – Pediatric Symptom Checklist (Youth
Self-Report, age 11-18+) - Spanish
http://www.massgeneral.org/psychiatry/assets/P
SC_Y_Youth_Self_Report_Spanish.pdf
Sports Pre-Participation Physical Exam Form
(AAP/AAFP/ACSM)
http://www.aafp.org/dam/AAFP/documents/pati
ent_care/fitness/ppephysicalexamform2010.pdf
Well Child/Health Check Billing Guide (NC
Medicaid)
http://www.ncdhhs.gov/DMA/healthcheck/HC-
Billing_Guide_2013.pdf
12
top related