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Updated May 2022Complex Fetal Care Consult Order Please attach all relevant supporting documents and fax to Overall at 860.837.9898PATIENT INFORMATION Patient name: (Last)___(First)___ Date of birth:

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Who needs contact usfetal care center?

01

Expectant parents who have concerns about the health of their unborn child.

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Pregnant women who have received abnormal prenatal screening results.

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Individuals seeking specialized care for fetal abnormalities or complications.

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What is contact usfetal care center?

Contact US Fetal Care Center is a specialized medical facility that provides comprehensive care for pregnant women and their unborn babies.

Who is required to file contact usfetal care center?

Pregnant women who are seeking specialized care for their unborn babies are required to file contact US Fetal Care Center.

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What is the purpose of contact usfetal care center?

The purpose of contact US Fetal Care Center is to provide specialized medical care and support for pregnant women and their unborn babies who may have complex medical needs.

What information must be reported on contact usfetal care center?

The information reported on contact US Fetal Care Center may include the patient's medical history, current pregnancy status, and any special medical needs or concerns.

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