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Feeding & Swallowing Clinic Feeding History Questionnaires form must be completed and submitted before your child can be scheduled with our clinic. Today\'s Date:WV County of Residence:Child\'s Name:Date
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How to fill out intermountainhealthcareorgprimary-childrensfeeding and swallowing consult

01
Go to the Intermountain Healthcare website and navigate to the Primary Children's Feeding and Swallowing Consult page.
02
Fill out the required personal information, including name, date of birth, contact information, and insurance details.
03
Provide information about the patient's medical history, previous treatments, and current symptoms related to feeding and swallowing issues.
04
Upload any relevant medical records or reports that may assist in the consultation process.
05
Submit the form and wait for a response from the healthcare provider regarding the consultation.

Who needs intermountainhealthcareorgprimary-childrensfeeding and swallowing consult?

01
Individuals, especially children, who are experiencing difficulties with feeding and swallowing may need to consult with Intermountain Healthcare's Primary Children's Feeding and Swallowing program.
02
This service is particularly beneficial for patients with conditions such as dysphagia, oral aversion, reflux, and other feeding disorders.

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It is a consultation service provided by Intermountain Healthcare for children who have feeding and swallowing difficulties.
Medical professionals, caregivers, and parents of children with feeding and swallowing issues are required to file the consult.
The consult can be filled out online through the Intermountain Healthcare website or by contacting the feeding and swallowing team directly.
The purpose of the consult is to provide specialized evaluation and recommendations for children with feeding and swallowing issues.
Information such as the child's medical history, feeding behavior, nutritional intake, and current therapies must be reported on the consult.
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