9 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: Interval Events:"]. Motor Milestones: [checklist value= "Moves objects from one hand to another|Sits without support|Rakes food toward themself|crawling"][text] Social/Language Milestone: [checklist value= "Multiple facial expressions|Stranger danger|Lifts arms to be picked up|Hits toys together|Babbles"] 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= "Sees a Dentist|Scheduled dentist appointment|Brush teeth daily|Fluoride given today"] Child care: [checkbox value= "Home|Daycare|Both hom and daycare"] Home: [textarea default= "Who lives at home: Siblings: Parents occupation:"] Safety: [checklist value= "Baby gates on stairs|Medications and cleaning supples stored safely|Outlet covers|Rear facing car seat"][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"]
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Sandbox Metrics: Structured Data Index 0.38, 17 form elements, 49 boilerplate words, 5 text boxes, 5 text areas, 2 checkboxes, 3 check lists, 1 drop downs, 1 comments, 31 total clicks
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