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South London Lactation Consultancy Practice Pre-Procedure Assessment Form Baby s first name Surname Date of Birth Parents names Gender Male Female Date of attendance Baby s age at attendance Address Phone Email address Name and address of GP Family history of tongue tie Yes If yes which family member Referred by GP Lactation Consultant BF counsellor Paediatrician Is this your first baby/breastfeeding experience Yes No Dates of any feeding/treatment plans previously given by other...
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How to fill out tongue tie questionnaire

How to fill out tongue tie questionnaire
01
Read the tongue tie questionnaire carefully to familiarize yourself with the questions.
02
Gather all the necessary information that is required to fill out the questionnaire.
03
Start with providing your personal details such as name, age, and contact information.
04
Answer each question in a clear and concise manner.
05
If there are any specific instructions or guidelines mentioned for a particular question, make sure to follow them.
06
If you are unsure about any question or need further clarification, don't hesitate to seek help from a healthcare professional or the organization administering the questionnaire.
07
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08
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09
Keep a copy of the filled-out questionnaire for your records, if required.
10
Follow up with the organization if you do not receive any communication regarding the questionnaire within the specified timeframe.
Who needs tongue tie questionnaire?
01
Individuals who suspect themselves or their child to have a tongue tie
02
Parents or caregivers of infants or children who are experiencing feeding difficulties
03
Individuals seeking a diagnosis or evaluation for tongue tie condition
04
Doctors, lactation consultants, and healthcare professionals involved in diagnosing and treating tongue tie
05
Research institutions conducting studies or surveys related to tongue tie
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What is tongue tie questionnaire?
The tongue tie questionnaire is a survey used to assess if a person has symptoms or signs of a tongue tie condition.
Who is required to file tongue tie questionnaire?
Parents of newborns or caregivers of young children are typically required to fill out a tongue tie questionnaire if there are concerns about the child's feeding or speech development.
How to fill out tongue tie questionnaire?
To fill out a tongue tie questionnaire, individuals can typically access and complete the form online, or receive a hard copy from their healthcare provider.
What is the purpose of tongue tie questionnaire?
The purpose of a tongue tie questionnaire is to gather information about potential symptoms or signs of a tongue tie condition in order to determine if further evaluation or treatment is necessary.
What information must be reported on tongue tie questionnaire?
Information such as the child's feeding habits, speech development, and any related symptoms or concerns are typically reported on a tongue tie questionnaire.
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