Form DHCS4035 B Youth Nutrition and Activity Assessment (Ages 8 - 19) - California

Form DHCS4035 B Youth Nutrition and Activity Assessment (Ages 8 - 19) - California

What Is Form DHCS4035 B?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHCS4035 B Youth Nutrition and Activity Assessment?
A: The DHCS4035 B Youth Nutrition and Activity Assessment is a form used to assess the nutrition and physical activity levels of youth aged 8-19 in California.

Q: Who is required to fill out this form?
A: This form is typically filled out by parents or guardians of youth aged 8-19 in California.

Q: What is the purpose of this assessment?
A: The purpose of this assessment is to gather information about a child's nutrition and physical activity habits in order to promote healthier lifestyles.

Q: How can this form be obtained?
A: This form can be obtained from the California Department of Health Care Services (DHCS) or through healthcare providers.

Q: What information is required to fill out this form?
A: The form asks for basic information about the child, as well as details about their dietary habits and physical activity levels.

Q: Is filling out this form mandatory?
A: Filling out this form is not mandatory, but it is encouraged to help promote healthier lifestyles for youth in California.

Q: What should I do with the completed form?
A: The completed form should be submitted to the appropriate healthcare provider or agency as instructed by the form's guidelines.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHCS4035 B by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS4035 B Youth Nutrition and Activity Assessment (Ages 8 - 19) - California

4.3 of 5 (22 votes)
  • Form DHCS4035 B Youth Nutrition and Activity Assessment (Ages 8 - 19) - California, Page 1
ADVERTISEMENT

Related Documents