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MUNROE-MEYER INSTITUTE Pediatric Feeding Disorders Program Pediatric Feeding Disorders Program Instructions: Please complete this online screening form and 3-day food record BEFORE your child s evaluation.
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Start by navigating to the website or platform where the online screening form is located.
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Begin filling out the form by entering your personal information such as your name, date of birth, and contact details. Make sure to double-check the accuracy of the information entered.
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Who needs an online screening form:

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Individuals seeking medical advice or recommendations: Online screening forms are commonly used in healthcare to gather preliminary information about a person's symptoms, medical history, or lifestyle in order to provide appropriate advice or recommendations.
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Educational institutions: Schools, colleges, and universities may use online screening forms to gather information about prospective students, assess their eligibility, or determine suitable programs or support services.
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The online screening form is a digital form through which individuals or organizations can provide information for evaluation or analysis purposes.
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The purpose of the online screening form is to collect specific information for screening, evaluation, or analysis purposes.
The information required to be reported on the online screening form may vary depending on the purpose of the form, but typically includes personal or organizational details and relevant data.
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