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  • Staying Healthy Assessment Questionnaires - DHCS
    Age and language-specific Staying Health Assessment (SHA) questionnaires can be opened by clicking the links below Currently all questionnaires are available in a PDF format
  • Staying Healthy Assessment Adult
    Do you limit the amount of fried food or fast food that you eat? Are you easily able to get enough healthy food? Do you drink a soda, juice drink, sports or energy drink most days of the week? Do you often eat too much or too little food? Are you concerned about your weight?
  • Microsoft PowerPoint - CenCal_SHA Provider Training. pptx
    A Staying Healthy Assessment (SHA) must be completed as part of the Initial Health Assessment, or new patient exam, within 120 days of enrollment in CenCal Health
  • STAYING HEALTHY ASSESSMENT (SHA) - partnershiphp. org
    STAYING HEALTHY ASSESSMENT (SHA) Instruction Sheet for the Provider Office SHA COMPLETION BY MEMBER Explain the SHA’s purpose and how it will be used by the PCP Offer SHA translation, interpretation, and accommodation for any disability if needed
  • Staying Healthy Assessment Questionnaires (SHA) - PromiseCare
    You will find here the Staying Healthy Assessments (SHA) for each age group (from Seniors to newborns) Click on the language you need to view or download the SHA Assessment for the corresponding age group
  • Initial Health Assessment (IHA) Staying Healthy Assessment (SHA . . .
    The Staying Healthy Assessment is an age‐appropriate questionnaire designed to be self‐administered by the patient or parent Alternatively, the patient or parent may be asked SHA questions verbally and responses recorded directly in the patient's electronic medical record
  • Staying Healthy - DHCS
    Do you limit the amount of fried food or fast food that you eat? Are you easily able to get enough healthy food? Do you drink a soda, juice drink, sports or energy drink most days of the week? Do you often eat too much or too little food? Are you concerned about your weight?
  • Staying Healthy Assessment - DHCS
    Do you always stay with your baby when she he is in the bathtub? In Child Day C are? Do you always place your baby in a rear facing car seat in the back seat? Is the car seat you use the right one for the age and size of your baby? Does your baby spend time in a home where a gun is kept?
  • Staying Healthy - DHCS
    Does your child drink or eat 3 servings of calcium-rich foods daily, such as milk, cheese, yogurt, soy milk, or tofu? Does your child eat fruits and vegetables at least two times per day? Does your child eat high fat foods, such as fried foods, chips, ice cream, or pizza more than once per week?
  • Staying Healthy - DHCS
    Does your child drink or eat 3 servings of calcium-rich foods daily, such as milk, cheese, yogurt, soy milk, or tofu? Does your child eat fruits and vegetables at least two times per day? Does your child eat high fat foods, such as fried foods, chips, ice cream, or pizza more than once per week?





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