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PROCEDURE CHECKLIST First Breath and My Baby & Me Client Name: FIRST BREATH MY BABY & ME ENROLLMENT: Give client First Breath program brochure and A Collection of Success Stories Complete Consent
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Start by gathering all the necessary information such as personal details, contact information, and any relevant medical history.
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Open the First Breath and My form and locate the first section where you will fill in your personal details. Provide your full name, date of birth, address, and any other required information.
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Move on to the next section which may include emergency contact details. Fill in the name, relationship, phone number, and any additional information requested.
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Proceed to the medical history section and carefully answer all the questions regarding your health. Be honest and provide accurate information as it will help healthcare professionals provide appropriate care.
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Who needs First Breath and My:

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Individuals who are attending a healthcare or medical appointment may be required to fill out the First Breath and My form. This form ensures that healthcare providers have accurate and up-to-date information about the patient's personal details and medical history.
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Expecting mothers and those planning to give birth often need to fill out this form during prenatal visits or when admitted to a hospital for delivery. It allows healthcare providers to gather important information related to the pregnancy and the mother's health.
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Individuals with chronic illnesses or complex medical conditions may also need to fill out this form to provide crucial details about their health history, allergies, medications, and emergency contacts. This helps healthcare providers make informed decisions regarding their treatment and care.
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