Staying Healthy Forms

The Staying Healthy Assessment Forms may be downloaded from one of the following websites:

New Staying Healthy Assessment (SHA) forms must be implemented by April 1, 2014. Updated SHA forms may be downloaded and printed in multiple age categories and languages from the DHCS website listed below:

DHCS Staying Healthy Assessment Forms

In order to download the SHA form in multiple age categories and languages from the LA Care website, please click the link below:

LA Care Staying Healthy Assessment Forms