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Raising Healthy Kids Referral Form
This is a referral to:
Healthy Lifestyles Coordination Service
F: 03 365 5977E: healthylifestyles@pegasus.org.nzReferrers Details
Name
Practice
Fax
Email
Phone:
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How to fill out raising healthy kids referral
How to fill out raising healthy kids referral
01
Start by gathering the necessary information about the child and their health history.
02
Consult with the child's pediatrician or healthcare provider to understand any specific recommendations or guidelines for raising healthy kids.
03
Provide complete and accurate information about the child's nutrition, physical activity, sleep patterns, and overall lifestyle.
04
Include any additional information or concerns that may be relevant to the child's health and well-being.
05
Follow the instructions provided in the raising healthy kids referral form and make sure to fill out all the required fields.
06
Review the completed referral form for any errors or missing information before submitting it.
07
Submit the filled-out raising healthy kids referral form to the appropriate recipient or healthcare organization.
08
Follow up with the relevant parties to ensure the referral has been received and processed.
09
Keep a copy of the filled-out referral form for your records.
10
If there are any changes or updates to the child's health status or lifestyle, consider submitting a new or updated raising healthy kids referral form.
Who needs raising healthy kids referral?
01
Parents or caregivers who want to ensure their child's health and well-being.
02
Healthcare providers who want to refer their patients or clients to resources or programs focused on raising healthy kids.
03
Community organizations or agencies involved in promoting healthy lifestyles for children.
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What is raising healthy kids referral?
Raising healthy kids referral is a program where parents or guardians can refer their children for health and wellness services.
Who is required to file raising healthy kids referral?
Parents or guardians are required to file the raising healthy kids referral for their children.
How to fill out raising healthy kids referral?
To fill out the raising healthy kids referral, parents or guardians need to provide their child's information, health history, and any specific health concerns.
What is the purpose of raising healthy kids referral?
The purpose of raising healthy kids referral is to ensure that children receive the necessary health and wellness services to support their growth and development.
What information must be reported on raising healthy kids referral?
The raising healthy kids referral must include the child's name, age, contact information, health history, and any specific health concerns.
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