Use these screening tools, forms and other resources to complete and document required components of Texas Health Steps medical and dental checkups.
Periodicity Schedule
Interactive Anticipatory Guidance
Developmental and Mental Health Screening Tools
Developmental Screening
- Ages and Stages Questionnaire (ASQ)
- Ages and Stages Questionnaire: Social Emotional (ASQ:SE)
- Parents’ Evaluation of Developmental Status (PEDS)
- Survey of Well-being of Young Children (SWYC)
Autism Screening
- Modified Checklist for Autism in Toddlers (M-CHAT)
- Modified Checklist for Autism in Toddlers, Revised with Follow-up Questions (M-CHAT-R/F)
Mental Health Screening
- Pediatric Symptom Checklist (PSC-17)
- Pediatric Symptom Checklist (PSC-35)
- Pediatric Symptom Checklist for Youth (Y-PSC)
- Patient Health Questionnaire (PHQ-9)
- Patient Health Questionnaire Modified for Adolescents (PHQ-A [depression screen])
- Car, Relax, Alone, Forget, Family, and Trouble Checklist (CRAFFT)
- Patient Health Questionnaire for Adolescents (PHQ-A [anxiety, eating problems, mood problems and substance abuse screen])
- Rapid Assessment for Adolescent Prevention Screening (RAAPS)
Tuberculosis Screening
Oral Evaluation and Fluoride Varnish (OEFV)
Child Health Record Forms
- How to access Child Health Record Forms (Select the Medical Checkup tab)
- Where to access Child Health Record Forms
Texas Early Hearing Detection and Intervention (TEHDI)
Texas Health Steps Dental Checkups
Newborn Screening
- Screened disorders, including FACT sheets to share with parents
- ACT sheets for health-care providers
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Maternal Postpartum Depression Screening Tools
Texas Health Steps providers are encouraged to screen for maternal postpartum depression (PPD) during any infant checkup up to 12 months. Validated screening tools to be used during a Texas Health Steps checkup include but are not limited to:
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