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PREGNANCY AND INFANT LOSS AWARENESS5K Run/WalkPrestonsburg, Ky. Saturday, October 17, 2015 10am *held at downtown city stage at 200 University Drive, Prestonsburg, Ky. 41653 ×15 till September 30
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01
To fill out a pregnancy and infant loss, follow these steps:
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Start by gathering all the necessary information such as the mother's name, date of the loss, and any other relevant details.
03
Begin with the mother's personal information, including her full name, address, and contact details.
04
Provide the date of the pregnancy or infant loss.
05
Include any medical information related to the loss, such as the cause of the loss or any complications experienced.
06
Provide details about the funeral or memorial arrangements, if applicable.
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Include any supporting documents or evidence related to the loss, such as medical records or certificates.
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Review the filled-out form for accuracy and completeness before submitting it.
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Submit the completed pregnancy and infant loss form to the appropriate authority or organization as required.
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Keep a copy of the filled-out form for your own records.
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If necessary, follow up with the concerned authority or organization to ensure the form has been processed properly.

Who needs pregnancy and infant loss?

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Pregnancy and infant loss forms are needed by individuals or couples who have experienced the loss of a pregnancy or infant.
02
This may include parents who have had a stillbirth, miscarriage, or experienced the death of an infant shortly after birth.
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The form allows them to officially document the loss and may be needed for various purposes, such as medical records, legal documentation, or insurance claims.
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It can also serve as a way for the parents to honor and remember their lost child.

What is PREGNANCY AND INFANT LOSS AWARENESS Form?

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Pregnancy and infant loss refers to the death of a baby before or shortly after birth.
Healthcare providers or hospitals are required to file pregnancy and infant loss.
Pregnancy and infant loss forms can be filled out electronically or manually, and must include specific information about the loss.
The purpose of pregnancy and infant loss reporting is to track and monitor these tragic events to help prevent future occurrences.
Information such as gestational age, cause of death, and demographic data of the mother must be reported on pregnancy and infant loss forms.
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