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SUMS SQUAD CHILD SCREENING FORM
Child's Full Name:
Child's D.O.B.
Mothers Full Name:
Contact Number:
Please provide TWO emergency contacts for your child:
Name:Number:Relationship to the Child:
Name:Number:Relationship
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How to fill out baby screening form
How to fill out baby screening form
01
Get a copy of the baby screening form from your healthcare provider or online.
02
Read the instructions on the form carefully before filling it out.
03
Start by providing your baby's personal information such as name, date of birth, and gender.
04
Answer the questions about your baby's medical history, allergies, and any existing conditions.
05
If there are any sections that you are unsure about, don't hesitate to ask your healthcare provider for clarification.
06
Ensure that you accurately fill out the form to the best of your knowledge.
07
Double-check all the information you have provided to ensure there are no mistakes or missing details.
08
Sign and date the form as required.
09
Submit the completed form to the appropriate healthcare provider or organization as instructed.
Who needs baby screening form?
01
Parents or guardians of newborn babies typically need to fill out the baby screening form.
02
Healthcare providers and organizations involved in newborn screening programs also require this form.
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What is baby screening form?
The baby screening form is a document used to collect essential health information and screening results for newborns to identify any potential health issues early.
Who is required to file baby screening form?
Parents or guardians of newborns are typically required to file the baby screening form, often through the hospital or healthcare provider.
How to fill out baby screening form?
To fill out the baby screening form, provide accurate details about the newborn's health, including vital statistics, medical history, and any screening test results, as instructed by the healthcare provider.
What is the purpose of baby screening form?
The purpose of the baby screening form is to ensure early detection of health conditions in newborns, which can be crucial for timely intervention and treatment.
What information must be reported on baby screening form?
The baby screening form must report information such as the baby's name, date of birth, parental details, and results of various health screenings conducted on the newborn.
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