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CONTRIBUTEDBYDr. Stacey Cole, Dominant Questionnaire Patient Name: Birth Weight: Birth Date: Today's Date: Present Weight: Address: City: State: Zip: Referred by: Phone: Pediatrician: Phone: Lactation

How to fill out infant questionnaire

How to fill out infant questionnaire

1. To fill out an infant questionnaire, follow these steps:
2. Gather all necessary information: You will need the child's personal information such as name, date of birth, and gender. You may also be required to provide details about the child's medical history and developmental milestones.
3. Read the instructions: Carefully read the instructions provided with the questionnaire to understand how to answer each section or question correctly.
4. Start with basic information: Begin by filling out the child's basic information like name, date of birth, and gender.
5. Answer specific questions: Proceed to answer specific questions regarding the child's health, allergies, vaccinations, and any other relevant medical information. Be as accurate and detailed as possible.
6. Complete developmental milestones: Fill out the section related to the child's developmental milestones. This may include motor skills, communication skills, and cognitive abilities at certain ages.
7. Review and submit: Once you have filled out all sections, review your answers to ensure accuracy and completeness. Make any necessary corrections before submitting the questionnaire.
8. Follow submission instructions: Follow the specific instructions on how and where to submit the filled-out questionnaire. This may involve mailing it to a healthcare provider or submitting it online.
9. Keep a copy: It is always a good idea to keep a copy of the filled-out questionnaire for your records or reference.

Who needs infant questionnaire?

1. The infant questionnaire is typically needed by healthcare providers, pediatricians, or medical professionals who require comprehensive information about an infant's health, development, and medical history. It is also often filled out by parents or caregivers of infants to provide necessary details about their child for medical assessments, check-ups, or enrollment in child care programs.

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