Muscular tonus Problems, plans2; Screening result of Red reflex examination of eyes with Red reflex examination of eyes with 3; 4; 5 phenylketonuria (PKU) and ophthalmoscope, if it has not been carried ophthalmoscope, if it has not been carried congenital hypothyroidism out previously out previously (CHT) Hearing examination with otoacoustic Hearing examination with otoacoustic Hearing examination with emissions method, if it has not been carried emissions method, if it has not been carried out otoacoustic emissions out previously previously method testing result — Health group 1 2 3 1 2 3 1 2 3 Immunisation2 According to vaccination According to vaccination calendar According to vaccination calendar calendar Additional vaccination Additional vaccination Additional vaccination Doctor's signature Child's age 2 months 3 months 4 months 6 months Date of the ... ... ... ... (dd.mm.yyyy) Physical development (in addition see physical development curves in Chapter II, Sub-paragraph 1 or 3, correct, if the child is born before week 37) Weight (g) (x 2 birth weight) Height (cm) Head circumference (cm) Complaints from the parents Feeding2; 3 Breastfeeding Breastfeeding (exclusive Breastfeeding (exclusive Breastfeeding (exclusive breastfeeding/mostly breastfeeding/mostly D vitamin 10 micrograms breastfeeding/mostly breastfeeding/partly breastfeeding/partly (400-900 IU/per day) breastfeeding/partly breastfeeding; discuss causes breastfeeding) Formula breastfeeding) for hypogalactia) D vitamin 10 micrograms Exclude food allergies
Muscular tonus Problems, plans2; 3; 4; 5 Screening result of phenylketonuria (PKU) and congenital hypothyroidism (CHT) Hearing examination with otoacoustic emissions method — testing result Red reflex examination of eyes with ophthalmoscope, if it has not been carried out previously Hearing examination with otoacoustic emissions method, if it has not been carried out previously Red reflex examination of eyes with ophthalmoscope, if it has not been carried out previously Hearing examination with otoacoustic emissions method, if it has not been carried out previously Health group 1 2 3 1 2 3 1 2 3 Immunisation2 According to vaccination calendar Additional vaccination According to vaccination calendar Additional vaccination According to vaccination calendar Additional vaccination Doctor's signature Child's age 2 months 3 months 4 months 6 months Date of the (dd.mm.yyyy) ... ... ... ... Physical development (in addition see physical development curves in Chapter II, Sub-paragraph 1 or 3, correct, if the child is born before week 37) Weight (g) (x 2 birth weight) Height (cm) Head circumference (cm) Complaints from the parents Feeding2; 3 Breastfeeding (exclusive breastfeeding/mostly breastfeeding/partly breastfeeding) Breastfeeding (exclusive breastfeeding/mostly breastfeeding/partly breastfeeding; discuss causes for hypogalactia) Breastfeeding (exclusive breastfeeding/mostly breastfeeding/partly breastfeeding) D vitamin 10 micrograms Breastfeeding D vitamin 10 micrograms (400-900 IU/per day) Formula Exclude food allergies
Cab.%20Reg.%20No.%20265%20-%20Keeping%20Medical%20Documents.docx