TMPPM 2008 > Texas Medicaid Services > Texas Health Steps (THSteps) > Clinical Information

43.2.3.1 History

The client's initial history must include the following:

•Family medical history.

•Neonatal history.

•Physical and mental health history.

•Developmental history.

•Immunization history.

•History of feeding or nutrition problems.

•A complete review of body systems.

Subsequent histories may be specific for the client's age and health history.

The history must be obtained from an adult caregiver familiar with the client and the client's health history. Preferably, the adolescent and the parent should be interviewed separately.

Refer to: "Additional Adolescent Screening" for more history/screening information for adolescents.