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Healthy Babies Healthy Children Referral Form Date: Personal Information Fax to: 6139664363 Name: DOB: YYY×mm/dd Partner: Children's Name’s) Date’s) of Birth YYY×mm/dd YYY×mm/dd YYY×mm/dd
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How to fill out healthy babies healthy children:

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Start by gathering all necessary information about the baby, including their birth date, gender, and any relevant medical history.
02
Provide accurate and detailed information about the baby's growth and development, including their height, weight, and milestones achieved.
03
Record any vaccinations the baby has received and any future vaccination schedules.
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Include information about the baby's nutrition, such as breastfeeding or formula feeding, and the introduction of solid foods.
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Document any health concerns or illnesses the baby has experienced and any treatments or medications given.
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Note any developmental screenings or assessments the baby has undergone and the results.
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Include information about the baby's physical activity and screen time habits.
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Lastly, review and submit the form, ensuring all information is accurate and up to date.

Who needs healthy babies healthy children:

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Parents and caregivers who want to ensure the well-being and healthy development of their children.
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Healthy Babies Healthy Children is a program that provides support and services to help ensure the healthy development of children.
Parents or caregivers of eligible children are required to file for the Healthy Babies Healthy Children program.
To fill out Healthy Babies Healthy Children, parents or caregivers can contact their local public health unit for assistance and guidance.
The purpose of Healthy Babies Healthy Children is to promote healthy child development and provide support to families.
Information such as child's health history, growth milestones, and any concerns regarding development must be reported on Healthy Babies Healthy Children.
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