6 Month WCC

Patient is a [text] Month Old [select value= "Select|M|F"] that presents to clinic for a well child check. 
Parental concerns: [textarea default= "Post Partum Depression: Intervel Events:"]. 
Motor Milestones: [checklist value= "Rolls over|Leans on hands to support when sitting|Puts things in mouth"][text]
Social/Language Milestone: [checklist value= "Laughs|Looks at self in mirror|squeals"]
Sleep/Naps: sleeps [text] hours at night and naps [text]. Patient sleeps [textarea default= "location, put to sleep with bottle?Pacifier?"]
Food: 
[textarea default= "Frequency of meals, Vitamin D drops for breast fed infants 400 IUs daily, Introducing solid foods"]
Dental:
[checkbox value= "Scheduled dentist appointment|Looking to schedule appointment|Brush teeth daily|Fluoride treatment today"][text]
Child care:
[checkbox value= "Daycare|Home|Both daycare and home"]
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"][text]
[textarea default="Meds: Allergies: PMH: PSH: FH:"]
Parental Education: Reading to child daily and avoiding use of screens. Dentist?
[comment memo="PE: **Red reflex"]
[comment memo= "Introducing solid foods handout, **No honey https://www.cdc.gov/nutrition/infantandtoddlernutrition/foods-and-drinks/when-to-introduce-solid-foods.html"]
[comment memo="3rd    dose    DTaP/PCV20/IPV/HepB.    Flu"]

Patient is a Month Old that presents to clinic for a well child check.
Parental concerns:
.
Motor Milestones:
Social/Language Milestone:
Sleep/Naps: sleeps hours at night and naps . Patient sleeps

Food:

Dental:

Child care:

Home:

Safety:

Parental Education: Reading to child daily and avoiding use of screens. Dentist?
PE: **Red reflex
Introducing solid foods handout, **No honey https://www.cdc.gov/nutrition/infantandtoddlernutrition/foods-and-drinks/when-to-introduce-solid-foods.html
3rd dose DTaP/PCV20/IPV/HepB. Flu

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.35, 20 form elements, 49 boilerplate words, 6 text boxes, 5 text areas, 2 checkboxes, 3 check lists, 1 drop downs, 3 comments, 30 total clicks
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