DA Form 5568. Chronological Record of Well-Baby Care

DA Form 5568, titled Chronological Record of Well-Baby Care, is used to document the medical care and developmental milestones of infants during well-baby care visits.

The form consists of sections where medical professionals record various aspects of the well-baby care visit, including growth measurements, immunizations administered, developmental assessments, and any recommendations or observations.

Important fields in this form include growth measurements, immunization details, developmental assessments, and medical recommendations. Accurate completion of this form helps track the health and development of infants during their early years.

Application Example: Pediatric clinics or healthcare providers use DA Form 5568 to document each well-baby care visit. By accurately completing the form and recording health and developmental data, healthcare providers can monitor the baby's progress.