Staying Healthy Assessment (SHA) Training


The Staying Healthy Assessment (SHA) forms consist of seven age-specific pediatric questionnaires and two adult questionnaires.  The Primary Care Physician (PCP) is responsible for ensuring the SHA is administered to each Member within 120 days of enrollment and may be administered as part of the Member's initial health assessment. The training resources below provide information on completing the SHA for your patients.

Staying Healthy Assessment (SHA) Training

SHA Pediatric Questions by Age Group

SHA Adult Questions by Age Group

Alternative IHEBA Review Form

Bright Futures Notification Form

SHA Format Notification Form


Providers must complete the SHA Training. Please do not forget to fax in the Proof of Training Form to (909) 890-2968 when the training has been completed.

Proof of Training Form

To access the SHA questionnaires, please click here