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Form F-01066B Healthcheck Adolescent's Food Record (13 to 20 Years of Age) - Wisconsin
What Is Form F-01066B?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F-01066B?
A: Form F-01066B is a Healthcheck Adolescent's Food Record specifically designed for individuals between the ages of 13 to 20 in the state of Wisconsin.
Q: Who is this form for?
A: This form is for adolescents between the ages of 13 to 20 in Wisconsin who want to record their food intake for health check purposes.
Q: What is the purpose of this form?
A: The purpose of this form is to track and record an adolescent's food intake in order to assess their nutritional health and make recommendations if necessary.
Q: How is this form used?
A: To use this form, the adolescent fills out the sections related to their food and beverage intake over a specific timeframe provided in the form, and submits it to the appropriate healthcare professional.
Form Details:
- Released on July 1, 2008;
- The latest edition provided by the Wisconsin Department of Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form F-01066B by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
