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N.C. Department of Health and Human Services Division of Public Health Women s and Children s Health Section Perinatal Health and Family Support Unit Client ID# Last Name First Name MI Date of Birth

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How to fill out healthy beginnings contact log

How to fill out a Healthy Beginnings contact log:

01

Start by opening the contact log form provided by Healthy Beginnings.

02

Fill in the date of the contact in the designated field. This should be the date when the contact was made.

03

Enter the name of the person or organization contacted in the appropriate field. This can be the name of a healthcare professional, support group, or any relevant person or entity.

04

Specify the purpose of the contact. This could be seeking medical advice, scheduling an appointment, or obtaining resources and information.

05

Record any important details or notes regarding the contact. This could include the person's response, recommendations, or any other relevant information discussed during the interaction.

06

If applicable, note down any actions taken or follow-up needed. For example, if an appointment is scheduled, write down the date and time for reference.

07

Sign the contact log to indicate that it has been completed.

08

Keep the log in a safe and easily accessible place.

Who needs a Healthy Beginnings contact log:

01

Pregnant women or new mothers who are enrolled in the Healthy Beginnings program.

02

Healthcare professionals or support staff working with pregnant women and new mothers.

03

Organizations or institutions providing maternal and childcare services who want to keep track of their communication with clients.

Remember, accurate and thorough documentation is essential for maintaining effective communication and ensuring proper continuity of care for pregnant women and new mothers.

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