Child Health Guide:Page 18-19

Test and Exam Record

Type of Test or Exam	Enter Date/Age, Results, and Other Information Below
Blood Pressure Test Schedule: Regularly after 3 years old*	Date/Age	Results	Other

Anemia Test Schedule: First test by 1 year old*	Date/Age	Results	Other
Anemia Test Schedule: First test by 1 year old*
Lead Test Schedule: First test by 1 year old*	Date/Age	Results	Other
Lead Test Schedule: First test by 1 year old*
Vision Test Schedule: First test by 3-4 years old*	Date/Age	Results	Other
Vision Test Schedule: First test by 3-4 years old*
Hearing Test Schedule:	Date/Age	Results	Other
Hearing Test Schedule:
Dental Visit Schedule:	Date/Age	Results	Other
Dental Visit Schedule:
____________ Schedule:	Date/Age	Results	Other
____________ Schedule:

*Discuss your child's specific needs with his or her health care provider.