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M E M B E R S H I P A P P L I C A T I O N AMERICAN CLEFT PALATE CRANIOFACIAL ASSOCIATION Please type and complete all sections accurately to avoid processing delay. Do not submit vita. First Name
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People who have been diagnosed with cleft palate in the United States may need to fill out the American cleft palate form.
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American cleft palate refers to a condition where a baby is born with a gap or split in the upper lip and/or roof of the mouth.
Healthcare providers and facilities who diagnose and treat cleft palate patients are required to file american cleft palate reports.
American cleft palate reports can be filled out electronically through the designated reporting system provided by the healthcare authorities.
The purpose of american cleft palate reporting is to track and monitor the prevalence of cleft palate cases in the American population for public health purposes.
The report must include patient demographics, date of diagnosis, type of cleft palate, and information about the healthcare provider.
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