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Ages 03 ABOUT THE CHILD NAME: CHIROPRACTIC EXPERIENCE WHO REFERRED YOU TO OUR OFFICE? ADDRESS: HAVE YOU SEEN OR HEARD OF OUR OFFICE BECAUSE OF (ALL THAT APPLY): CITY: NEWSPAPER STATE/ZIP CODE: SIGN
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0-3 child member health refers to the health status and medical information of children aged 0 to 3 years old.
Parents or legal guardians of children aged 0 to 3 years old are required to file 0-3 child member health information.
To fill out 0-3 child member health, parents or legal guardians need to provide accurate information about the child's health status, medical history, and any ongoing treatments or medications.
The purpose of 0-3 child member health is to keep track of the health and well-being of young children and ensure they receive proper medical care.
Information such as height, weight, vaccinations, illnesses, allergies, and any other relevant medical information must be reported on 0-3 child member health forms.
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