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Pediatric Growth Disorders Tracking Chart

A comprehensive growth monitoring tool for patients and healthcare providers

Endocrinology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: _________________________ Date of Birth: __________________ Medical Record #: _______________

Growth Parameters Tracking

Height Measurements

Date Age Height (cm) Height Percentile Growth Velocity (cm/year)

Weight Measurements

Date Age Weight (kg) Weight Percentile BMI

Treatment History

Growth Hormone Therapy

  • Start Date: ________________
  • Current Dose: ______________
  • Frequency: _________________

Response Markers

  • IGF-1 Levels: ______________
  • Bone Age: _________________

Important Notes

  • Plot measurements on standard growth charts
  • Record any medication changes
  • Note any side effects
  • Document missed doses

Follow-up Schedule

Next Appointment: ______________

For Healthcare Provider Use:

Growth Velocity Analysis

  • Target Height: _______________
  • Predicted Adult Height: ______
  • Current Growth Rate: ________

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