EPSDT Provider Tools

• EPSDT Pre-Exam Checklist
• Preventive Healthcare Letter

Preventive Health Screening Forms

• Physicians’ Guide to Preventive Health Screening Grid (all)
• Preventive Health Screening, Newborn to 24 months
• Preventive Health Screening, 3-10 years of age
• Preventive Health Screening, 11-21 years of age

Preventive Health Screening Labels

• Preventive Health Screening, Newborn to 12 months
• Preventive Health Screening, 15 months to 4 years of age
• Preventive Health Screening, 5 years of age to 20 years of age

Use AVERY® 5963™ or equivalent

Reminder Cards

• Check-up Postcard (English)

Lead Screening

• EPSDT Lead Screening Questionnaire
• EPSDT Lead Screening Labels

Use AVERY® 5972™ or equivalent

Well Child Care Posters

• EPSDT Well Child Care Poster Small Boy (English)
  
• EPSDT Well Child Care Poster Small Boy (Spanish)

• EPSDT Well Child Care Poster Teen Boy (English)
  
• EPSDT Well Child Care Poster Teen Boy (Spanish)
  

• EPSDT Well Child Care Poster Teen Girl (English)
  
• EPSDT Well Child Care Poster Teen Girl (Spanish)