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ROUGHEN CHIROPRACTIC NEWBORN + INFANT HISTORY Birth to 23 months Christchurch 03 365 7828 Dominika 03 755 7846 www.roughan.co.nzChilds Name: Known as: Date of Birth: Age: Sex: Blood Type: O / A /
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To fill out birth history, follow these steps:
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Start with the personal details of the person whose birth history is being recorded, including their full name, date of birth, and place of birth.
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Record any additional relevant information, such as the birth weight, length, and any complications during birth.
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Include information about the parents, including their names and any relevant medical history.
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Document any significant medical events following birth, such as hospitalizations or surgeries.
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Include information about any siblings or other family members who may have relevant medical history.
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Record any genetic or hereditary conditions that are known within the family.
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Ensure that all information is recorded accurately and legibly.
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Review the completed birth history form for any missing or incomplete information before finalizing it.
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Store the birth history record securely, appropriately, and in accordance with privacy regulations.

Who needs birth history - vortala?

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Birth history is needed by various healthcare professionals and institutions:
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- Obstetricians or gynecologists to understand the background and medical context of a patient.
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- Pediatricians or pediatric nurses to assess the health and development of a child.
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- Genetic counselors to identify potential risks or inherited conditions.
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- Hospitals or birthing centers to document and track birth-related data.
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- Researchers or epidemiologists studying patterns or trends in childbirth and its outcomes.
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- Individuals themselves or their parents / guardians who want to keep a comprehensive record of their medical history.
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Birth history - vortala is a document that records an individual's birth details such as date, time, place, and other relevant information.
Parents or legal guardians of the newborn are required to file the birth history - vortala.
The birth history - vortala can be filled out by providing all the necessary information about the newborn's birth and personal details in the designated sections of the form.
The purpose of birth history - vortala is to officially document the birth of an individual for legal and administrative purposes.
The birth history - vortala must include details such as the newborn's name, date of birth, place of birth, parent's names, and other relevant information.
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