Free Down Syndrome Medical Checklist

Prepared By: [YOUR NAME]
Contact: [YOUR EMAIL]
Organization: [YOUR COMPANY NAME]
Address: [YOUR COMPANY ADDRESS]
Phone Number: [YOUR COMPANY NUMBER]
Email: [YOUR COMPANY EMAIL]
Personal Information
Field | Sample Data |
|---|---|
Full Name | Jonatan Farrell |
Date of Birth | January 1, 2050 |
Parent/Caregiver Contact | Winona Harvey, winona@you.mail |
Key Medical Evaluations and Screenings
Annual thyroid function test
Cardiology evaluation (every 5 years or as advised)
Hearing assessment (every 6 months for children, annually for adults)
Vision screening (every 1–2 years)
Bloodwork for anemia and vitamin D levels (annually)
Developmental and Behavioral Support
Speech therapy assessment (as needed)
Occupational therapy evaluation (annually)
Behavioral health check-in (every 6 months)
Educational program review with school/caregiver (annually)
Social skills group participation (monthly)
Routine Health Maintenance
Date (Future Appointments) | Appointment Type | Notes |
|---|---|---|
February 12, 2050 | Vision Screening | Scheduled |
April 18, 2050 | Annual Physical Exam | Pending |
July 10, 2050 | Cardiology Evaluation | Booked |
Maintain a balanced diet and exercise plan
Track vaccinations and booster schedules
Update emergency medical plan annually
Call to Action
For further assistance or customizations to this checklist, contact [YOUR COMPANY NAME] at [YOUR COMPANY EMAIL] or [YOUR COMPANY NUMBER]. Empower proactive healthcare today!
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The Down Syndrome Medical Checklist Template from Template.net is a fully customizable and editable tool designed to support healthcare professionals. Easily tailored to individual needs, this template helps organize essential medical information. With the AI Editor Tool, users can quickly adjust the checklist, ensuring accurate and efficient management of Down syndrome care.
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