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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 Unit Client ID# Last Name First Name MI Date of Birth Month Day Healthy

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Who needs healthy beginnings empowerment agreement?

01

Pregnant women who are seeking prenatal care

02

Families with young children who want to access healthcare services

03

Individuals looking to receive support and resources for healthy living

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What is healthy beginnings empowerment agreement?

The healthy beginnings empowerment agreement is a document that outlines the responsibilities, goals, and expectations of both the pregnant individual and their healthcare provider during pregnancy.

Who is required to file healthy beginnings empowerment agreement?

Both the pregnant individual and their healthcare provider are required to file the healthy beginnings empowerment agreement.

How to fill out healthy beginnings empowerment agreement?

The healthy beginnings empowerment agreement can be filled out by the pregnant individual and their healthcare provider, outlining their respective responsibilities and goals during the pregnancy.

What is the purpose of healthy beginnings empowerment agreement?

The purpose of the healthy beginnings empowerment agreement is to ensure clear communication and mutual understanding between the pregnant individual and their healthcare provider throughout the pregnancy.

What information must be reported on healthy beginnings empowerment agreement?

The healthy beginnings empowerment agreement must include details such as the prenatal care plan, prenatal tests, birthing preferences, and postpartum care.

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