Staying Healthy Assessments are required only for New Medi-Cal HMO patients (CHG, HealthNet, Molina)
From the options below, please pick the 2-page questionnaire appropriate for your child’s age.
- All ages from birth to 18
- Ages 0 – 3 years (Download)
- Ages 4 – 8 years (Download)
- Ages 9 – 11 years (Download)
- Ages 12 – 17 years (Download)