DAFORMFILLABLE.COM | DA FORM 5223-R Fillable – Army Pubs 5223-R PDF – DA FORM 5223-R, also known as the Child Development Services (CDS) Child Health Assessment (LRA), is an essential document used within military communities. This form is designed to evaluate and document the health status of children enrolled in Child Development Services programs. Understanding the purpose and structure of this form is crucial for parents, healthcare providers, and Child Development Services personnel.
DA FORM 5223-R – Child Development Services (CDS) Child Health Assessment (LRA)
| Form Number | DA Form 5223-R |
| Form Title | Child Development Services (CDS) Child Health Assessment (LRA) |
| Form Date | 07/01/1989 |
| Form Proponent | G-9 |
Purpose of DA FORM 5223-R
The primary purpose of DA FORM 5223-R is to ensure that children enrolled in Child Development Services (CDS) programs receive appropriate health assessments. These assessments are vital for maintaining the overall well-being of the children and ensuring that any health concerns are identified and addressed promptly.
Key Objectives
- Documentation of Health Status: The form provides a comprehensive record of a child’s health, including immunizations, medical history, and any existing health conditions.
- Facilitation of Care: By documenting health information, the form aids in the coordination of care among different healthcare providers and CDS personnel.
- Compliance with Regulations: It ensures that the health assessments comply with AR 608-10, which governs Child Development Services within the military.
Completing DA FORM 5223-R
Filling out DA FORM 5223-R involves several key sections that must be accurately completed to provide a complete picture of a child’s health. Each section is designed to gather specific information necessary for the child’s health assessment.
Sections of the Form
Personal Information
This section includes basic information about the child, such as:
- Full Name
- Date of Birth
- Parent or Guardian Contact Information
Health History
In this section, parents or guardians must provide detailed information about the child’s medical history, including:
- Past Illnesses: Documentation of any significant illnesses or medical conditions.
- Allergies: Information on any known allergies, including food and medication allergies.
- Immunizations: A record of the child’s immunizations, which is crucial for ensuring the child is up-to-date with their vaccinations.
Physical Examination
A healthcare provider must complete this section, detailing the results of a physical examination, including:
- Height and Weight
- Vision and Hearing Screening Results
- General Health Status: Including observations on the child’s physical and emotional health.
Submitting the Form
Once completed, DA FORM 5223-R should be submitted to the appropriate CDS facility. It is important to ensure that all sections are filled out accurately and completely to avoid any delays in the child’s enrollment or continued participation in CDS programs.
Importance of DA FORM 5223-R
The DA FORM 5223-R plays a critical role in maintaining the health and safety of children in military communities. It ensures that each child receives a thorough health assessment and that any medical issues are promptly addressed. By adhering to the guidelines set forth in AR 608-10, this form helps to standardize health assessments across CDS programs.
Benefits for Parents and Guardians
- Peace of Mind: Knowing that their child’s health is regularly monitored and documented.
- Access to Services: Ensuring that the child has access to necessary healthcare services within the CDS framework.
Benefits for CDS Personnel
- Efficient Care Coordination: Facilitating communication between healthcare providers and CDS staff.
- Compliance and Accountability: Ensuring that health assessments meet regulatory requirements and standards.
Conclusion
DA FORM 5223-R – Child Development Services (CDS) Child Health Assessment (LRA) is a vital tool for maintaining the health and well-being of children in military communities. By providing a comprehensive health assessment, this form supports the overall mission of Child Development Services to offer safe and nurturing environments for children. Proper completion and submission of this form are essential for ensuring that each child’s health needs are met effectively.
Understanding and utilizing DA FORM 5223-R is crucial for parents, guardians, and CDS personnel to ensure the continued health and safety of children enrolled in Child Development Services programs.
DA FORM 5223-R Fillable – Army Pubs 5223-R PDF DOWNLOAD
