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AUTHORIZATION FOR DISCLOSURE OF CONFIDENTIAL INFORMATION 0000-106 (9/08) Patient Name Date of birth Address M.R. # or SS # Phone I AUTHORIZE FORESHORE UNIVERSITY HEALTHSYSTEM TO RELEASE TO: Name (If
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The ISCU Developmental Follow-Up Clinic is a medical service that provides assessments and monitoring of children's development who have previously been admitted to the Neonatal Intensive Care Unit (NICU).
Parents or guardians of children who have been admitted to the Neonatal Intensive Care Unit (NICU) are required to file for the ISCU Developmental Follow-Up Clinic.
To fill out the ISCU Developmental Follow-Up Clinic, parents or guardians should provide accurate information about their child's medical history, developmental milestones, and any concerns or observations relating to their child's development.
The purpose of the ISCU Developmental Follow-Up Clinic is to ensure that children who have received medical care in the Neonatal Intensive Care Unit (NICU) are monitored and assessed for any developmental delays or issues that may require intervention or support.
The ISCU Developmental Follow-Up Clinic requires parents or guardians to report their child's medical history, developmental progress, any concerns or observations regarding their child's development, and any additional relevant information requested by the clinic.
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