CHAT Tool - Offender Health Research Network
CHAT Tool - Offender Health Research Network
CHAT Tool - Offender Health Research Network
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Physical <strong>Health</strong> Assessment<br />
GUIDANCE: Certain parameters have developmental norms. Please record if the young person does not know the<br />
answers to these questions<br />
Weight<br />
Height<br />
Respiration<br />
Pulse<br />
Blood Pressure<br />
Temperature – axilla or oral<br />
Body Mass Index<br />
KILOGRAMS<br />
METRES<br />
PER MINUTE<br />
PER MINUTE<br />
SYSTOLIC/DIASTOLIC<br />
º CENTIGRADE<br />
KGM / METRE²<br />
Immunisation Status: Verify that immunisations and immunisation series have been completed.<br />
For each state YES or NOT KNOWN (if YES include date/age).<br />
Where vaccinations have not been received add to Care Plan<br />
Immunisation Schedule 1st 2nd 3rd Pre School<br />
Boosters<br />
Diphtheria<br />
Post School<br />
Boosters<br />
Tetanus<br />
Polio<br />
Pertussis<br />
Hib<br />
PCV<br />
Men C<br />
Surname:<br />
DOB:<br />
Forenames:<br />
NHS Number:<br />
<strong>CHAT</strong> <strong>Tool</strong> Secure Estate (Version 3 - June 2013)<br />
25 | P age
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