{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang3081\deflangfe3081{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial;}{\f162\froman\fcharset238\fprq2 Times New Roman CE;}
{\f163\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f165\froman\fcharset161\fprq2 Times New Roman Greek;}{\f166\froman\fcharset162\fprq2 Times New Roman Tur;}{\f167\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\f168\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f169\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f170\froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f172\fswiss\fcharset238\fprq2 Arial CE;}
{\f173\fswiss\fcharset204\fprq2 Arial Cyr;}{\f175\fswiss\fcharset161\fprq2 Arial Greek;}{\f176\fswiss\fcharset162\fprq2 Arial Tur;}{\f177\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}{\f178\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}
{\f179\fswiss\fcharset186\fprq2 Arial Baltic;}{\f180\fswiss\fcharset163\fprq2 Arial (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;}{\stylesheet{
\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 \snext0 Normal;}{\*\cs10 \additive Default Paragraph Font;}{\*
\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv 
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \snext11 \ssemihidden Normal Table;}{
\s15\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 \f1\fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 \snext15 [Normal];}}{\*\latentstyles\lsdstimax156\lsdlockeddef0}
{\*\rsidtbl \rsid8139974}{\*\generator Microsoft Word 11.0.0000;}{\info{\title Childrens GPMP/MHP template 0-10 y}{\operator kgallary}{\creatim\yr2010\mo4\dy27\hr14\min4}{\revtim\yr2010\mo4\dy27\hr14\min4}{\version2}{\edmins1}{\nofpages2}{\nofwords283}
{\nofchars1616}{\nofcharsws1896}{\vern24615}{\*\password 00000000}}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/office/word/2003/wordml}}\paperw12240\paperh15840\margl1800\margr1800\margt1440\margb1440\gutter0\ltrsect 
\deftab1134\widowctrl\ftnbj\aenddoc\donotembedsysfont0\donotembedlingdata1\grfdocevents0\validatexml0\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0\showxmlerrors0\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3
\jcompress\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot\rsidroot8139974 \fet0{\*\wgrffmtfilter 013f}\ilfomacatclnup0{\*\background 
{\shp{\*\shpinst\shpleft0\shptop0\shpright0\shpbottom0\shpfhdr0\shpbxmargin\shpbxignore\shpbymargin\shpbyignore\shpwr0\shpwrk0\shpfblwtxt1\shpz0\shplid1025{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 1}}{\sp{\sn lineWidth}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn fBackground}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}}}{\*\ftnsep \ltrpar \pard\plain \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 \chftnsep 
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\chftnsepc 
\par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\chftnsep 
\par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\chftnsepc 
\par }}\ltrpar \sectd \ltrsect\linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang 
{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7
\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\qc \li0\ri0\widctlpar
\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 {\rtlch\fcs1 
\ab\af1\afs32 \ltrch\fcs0 \b\f1\fs32\insrsid8139974 Childrens GPMP/MHP template 0-10 y.o.}{\rtlch\fcs1 \af0\afs32 \ltrch\fcs0 \fs32\insrsid8139974 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\wrapdefault\faauto\rin0\lin0\itap0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Patient Name:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ul\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par <<Patient Demographics:Full Details>>
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Date:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974  }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "2" }{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000030000000303000000000000c000000000000046000054000000433a5c446f63756d656e747320616e642053657474696e67735c6b67616c6c6172795c4c6f63616c2053657474696e67735c54656d706f7261727920496e7465726e65742046696c65735c4f4c4b3130
305c3200ffffadde000000000000000000000000000000000000000000000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Miscellaneous:Date>>}}}\sectd \linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 \ab\af1\afs22 
\ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 
\par 
\par Doctor Preparing Plan:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  <<Doctor:Name>>}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 
\par 
\par 
\par Medications:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "RPLSMDD" }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000030000000303000000000000c00000000000004600005a000000433a5c446f63756d656e747320616e642053657474696e67735c6b67616c6c6172795c4c6f63616c2053657474696e67735c54656d706f7261727920496e7465726e65742046696c65735c4f4c4b3130
305c52504c534d444400ffffadde000000000000000000000000000000000000000000000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Clinical Details:Medication List>>}}}\sectd \linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Allergies:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ul\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "R" }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000030000000303000000000000c000000000000046000054000000433a5c446f63756d656e747320616e642053657474696e67735c6b67616c6c6172795c4c6f63616c2053657474696e67735c54656d706f7261727920496e7465726e65742046696c65735c4f4c4b3130
305c5200ffffadde000000000000000000000000000000000000000000000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Clinical Details:Allergies>>}}}\sectd \linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Immunisation:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ul\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "BVCS" }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000030000000303000000000000c000000000000046000057000000433a5c446f63756d656e747320616e642053657474696e67735c6b67616c6c6172795c4c6f63616c2053657474696e67735c54656d706f7261727920496e7465726e65742046696c65735c4f4c4b3130
305c4256435300ffffadde000000000000000000000000000000000000000000000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Clinical Details:Immunisation List>>}}}\sectd \linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par Immunisation up to date? Yes/No}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8139974 
\par }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid8139974 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Past Medical History:}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid8139974 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8139974 
\par }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "AC" }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000030000000303000000000000c000000000000046000055000000433a5c446f63756d656e747320616e642053657474696e67735c6b67616c6c6172795c4c6f63616c2053657474696e67735c54656d706f7261727920496e7465726e65742046696c65735c4f4c4b3130
305c414300ffffadde000000000000000000000000000000000000000000000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Clinical Details:History List>>}}}\sectd \linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid8139974 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Family History:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974  
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (physical and mental health issues)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid8139974 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Clinical Details:Family History>>}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\ul\insrsid8139974 S}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 ocial History:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (who child lives with, siblings and ages, financial/alcohol/drug issues)}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\insrsid8139974 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Clinical Details:Social History>>}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Relevant Physical Examination:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\ul\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par height/weight/HC and percentiles 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 
\par Hearing:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \ul\insrsid8139974 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 Hearing formally tested? }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "#CUSTOM" \\l "|B|||1|N"}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b0200000008000000090000007c0042007c007c007c0031007c004e000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Hearing formally tested?>>}}}
\sectd \linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  
\par 
\par Any concerns?  }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "#CUSTOM" \\l "|B|||1|N"}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
08d0c9ea79f9bace118c8200aa004ba90b0200000008000000090000007c0042007c007c007c0031007c004e000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Any concerns with hearing?>>}}}\sectd 
\linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139974 
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Vision:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par Vision formally tested? }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "#CUSTOM" \\l "|B|||1|N"}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
08d0c9ea79f9bace118c8200aa004ba90b0200000008000000090000007c0042007c007c007c0031007c004e000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Vision formally tested?>>}}}\sectd 
\linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  
\par 
\par Any concerns? }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "#CUSTOM" \\l "|B|||1|N"}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
08d0c9ea79f9bace118c8200aa004ba90b0200000008000000090000007c0042007c007c007c0031007c004e000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Any conerns with vision?>>}}}\sectd 
\linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 
\par Diet:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par Any concerns? }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  HYPERLINK "#CUSTOM" \\l "|B|||1|N"}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974\charrsid8139974 {\*\datafield 
08d0c9ea79f9bace118c8200aa004ba90b0200000008000000090000007c0042007c007c007c0031007c004e000000}}}{\fldrslt {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 <<Any concerns with diet?>>}}}\sectd 
\linex0\headery567\footery567\titlepg\sectdefaultcl\sftnbj {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  
\par 
\par Detail if relevant:
\par 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Birth History:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (Include significant birth trauma, prematurity,significant neonatal history,postnatal depression if an issue or other significant postnatal issues for parent/s)}{\rtlch\fcs1 \ai\af1\afs22 
\ltrch\fcs0 \i\f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Developmental History:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974  
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (parent checklist) }{\rtlch\fcs1 \ai\af1\afs22 \ltrch\fcs0 \i\f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Childcare/Kindergarten/School concerns:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid8139974  
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (raised by teachers and ?progress is age appropriate)
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Behavioural Issues:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (parent checklist) concerns by parents/teacher/carers regarding such things as activity levels, distractibility,  aggressive or concerning behaviour
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\ul\insrsid8139974 Emotional Health Issues:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974  
\par }{\rtlch\fcs1 \ai\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid8139974 (parent checklist) fears or worries of child and any other emotional health concerns
\par }{\rtlch\fcs1 \ai\af1\afs22 \ltrch\fcs0 \i\f1\fs22\insrsid8139974 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid8139974 
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\nowidctlpar\tx567\tx1134\tx1701\tx2268\tx2835\tx3402\tx3969\tx4536\tx5103\tx5670\tx6237\tx6804\tx7371\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af1\afs24\alang1025 \ltrch\fcs0 
\f1\fs24\lang3081\langfe3081\cgrid\langnp3081\langfenp3081 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \fs22\insrsid8139974 
\par }}