1 Month WCC

Patient is a [text] Month Old [select value= "Select|M|F"] that presents to clinic for a well child check. 
[textarea default= "Post Partum Depression:  Denies feelings of depression, anhedonia, SI/HI.    Concerns:"]. 
Motor Milestones: [checklist value= "head flops back|hands in fists moving in front of mouth/face|Tummy time"][text]
Social/Language Milestone: [checklist value= "eyes wander|turns to sounds"]
Sleep/Naps: [textarea default= "Mattress firm, no toys/blankets/pillows in crib, puts to sleep on back"]
Food: 
[textarea default= "frequency of feeds, how much if bottle fed, time spent eating, Vitamin D drops for breast fed infants, 400 IUs daily, Iron supplement for pre-me 1mg/kg"]
Child care:
[textarea default= "When are you going back to work, child care?"]
Home: 
[textarea default= "Who lives at home: Siblings: Parents occupation:"]
Safety: [checklist value= "Put to sleep on back|No blankets, pillows or toys in crib|Firm mattress|Rear facing car seat|Never left unattended on raised surfaces"]
[textarea default="Meds: Allergies: PMH: PSH: FH:"]
[comment memo="PE: **Red reflex"]