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Connecticut Children s Co-Management Tool-Kit 860. 545. 9000 www. connecticutchildrens. org PEDIATRIC VOIDING DYSFUNCTION CO-MANAGEMENT SPECIALIST FEEDBACK/TREATMENT PLAN Patient Name Patient DOB Age years and months Date of Visit Sex Male Female Accompanied by Pediatric Urologist Primary Care Provider Additional Urologic Diagnoses UTI Vesicoureteral Reflux Hydronephrosis Other Interval History Dysfunctional Voiding Symptom Score Voiding Interval Daytime wetting Yes No Episodes per day per...
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What is specialist feedback form?
The specialist feedback form is a document used to gather information and feedback from experts in a particular field.
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Individuals who are experts or specialists in a specific area may be required to file the specialist feedback form.
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The purpose of the specialist feedback form is to gather valuable insights and information from experts in order to improve processes or projects.
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