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Client ID# Last Name First Name MI N.C. Department of Health and Human Services Division of Public Health Women's and Children's Health Section Perinatal Health Unit Date of Birth Month Day Data Reporting
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How to fill out healthy beginnings dischartge dhhs
How to fill out healthy beginnings discharge DHHS:
01
Begin by obtaining a copy of the healthy beginnings discharge DHHS form from your healthcare provider or local health department.
02
Carefully read through the entire form to familiarize yourself with the information required.
03
Start by providing your personal information such as your name, date of birth, address, and contact information.
04
Specify the name and contact details of your healthcare provider or the facility where you received prenatal care.
05
Indicate the date when you received your last prenatal care visit.
06
Fill in details about your pregnancy, including the estimated due date and any complications or conditions you experienced.
07
Specify the type of birth you had, whether it was vaginal, cesarean section, or other.
08
Provide information about your baby, such as their name, date of birth, and birth weight.
09
Include details about your baby's health, including any complications or conditions they may have.
10
Sign and date the form, indicating that the information provided is accurate and complete.
11
Submit the completed form to your healthcare provider or local health department as instructed.
Who needs healthy beginnings discharge DHHS:
01
Pregnant individuals who have received prenatal care and have recently given birth.
02
Parents or guardians of newborn babies.
03
Individuals who are seeking postpartum care or support from the Department of Health and Human Services (DHHS).
04
Healthcare providers or facilities that need to record and share information about the health and well-being of the mother and baby after childbirth.
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What is healthy beginnings discharge dhhs?
Healthy Beginnings Discharge DHHS is a form used to report important information about newborns and their mothers to the Department of Health and Human Services.
Who is required to file healthy beginnings discharge dhhs?
Healthcare providers and facilities responsible for the care of newborns and mothers are required to file Healthy Beginnings Discharge DHHS.
How to fill out healthy beginnings discharge dhhs?
Healthy Beginnings Discharge DHHS can be filled out online or through a paper form provided by the Department of Health and Human Services.
What is the purpose of healthy beginnings discharge dhhs?
The purpose of Healthy Beginnings Discharge DHHS is to ensure that important health data of newborns and mothers is reported accurately and in a timely manner to the Department of Health and Human Services.
What information must be reported on healthy beginnings discharge dhhs?
Information such as the newborn's date of birth, weight, APGAR score, mother's health history, and any complications during delivery must be reported on Healthy Beginnings Discharge DHHS.
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