WebState of California – Health and Human Services Agency Department of Health Care Services DHCS 7098 H SPANISH (Rev 12/13) SHA (Adult) Page 1 of 3 . Evaluación de Salud (Staying Healthy Assessment) Adulto (Adult) Nombre del paciente (nombre y apellido): Fecha de nacimiento: Mujer Hombre Fecha de hoy: Persona que llena el … Web7098 H DHCS 7098 I Nutrition Physical Activity Safety Dental Health Mental Health Alcohol, Tobacco, Drug Use (or Tobacco Smoke Exposure) Sexual Issues Independent Living Question Totals for All Forms :16 18 24 24 23 28 36 27 32 *Suggested age ranges only.

CHADIS Medi-Cal HS

WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 E (Rev 12/13) SHA (5 – 8 Years) Page 2 of 2 . 15 . Does your child … WebState of California – Health and Human Services Agency Department of Health Care Services DHCS 7098 I VIETNAMESE (Rev 12/13) SHA (Senior) Page 1 of 3 (Staying Healthy Assessment) (Senior) Tên Bệnh Nhân Ngày Sinh Nữ Nam Hôm Nay Ngày b ệnh nhân Có Không ệ Có Không Clinic Use Only: 1 high school tuba range

CHADIS Adult Questionnaires

WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 G (Rev 12/14) SHA (12 – 17 Years) Page 1 of 2 Staying Healthy Assessment 12 – 17 Years. Name (first & last) Date of Birth Female Male Today’s Date Grade in School: Person Completing Form Parent Relative Friend Guardian ... http://www.sfhp.org/wp-content/files/providers/forms/DHCS%207098%20E%20ENGLISH_SHA_5-8%20Years%2012.13_Writable.pdf WebNov 16, 2024 · Cozeva is the operating system for value-based healthcare and powers the transition toward a value-based ecosystem for quality, risk, and cost performance. As a cloud-based solution for ACOs, IPAs, payers, providers, and patients, Cozeva aggregates and transforms multiple data streams into actionable analytics and registry driven … how many cows fit in a trailer