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The Neonate Assistance Program (NAP) Application Neonate Assistance Program (NAP)FOR PATRICIA USE ONLYRequest #:(Page 2 of 2)B. FINANCIAL INFORMATION DO NOT SEND ORIGINALSAttach the most current copies
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For Nutricia Use Only refers to products that are specifically intended for consumption by individuals with special medical needs, such as those on a Nutricia-supervised diet.
Healthcare professionals or caregivers of individuals with special medical needs who require Nutricia products are required to file for Nutricia Use Only.
To fill out for Nutricia Use Only, the healthcare professional or caregiver must provide information about the individual's medical condition and nutritional needs.
The purpose of For Nutricia Use Only is to ensure that individuals with special medical needs receive the appropriate nutritional products under the supervision of healthcare professionals.
Information such as the individual's medical diagnosis, recommended nutritional intake, and any specific dietary restrictions must be reported on For Nutricia Use Only forms.
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