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Referral Form Adaptor Hospital and Other Referrals:For PhD Referrals: Referral Date: ___Referral Source:___Referral Source: Region___ MCH NFL SIDS Name of Nurse: ___Name of Referring Individual: ___HospitalBirthing

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North Carolina Maternal Infant Health Program is a program that aims to improve the health outcomes of pregnant women and infants in the state.

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Healthcare providers and facilities that provide care to pregnant women and infants in North Carolina are required to file the maternal infant health reports.

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The purpose of the North Carolina Maternal Infant Health Program is to monitor and improve the health outcomes of pregnant women and infants, and to identify areas for intervention and improvement.

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Information such as prenatal care, delivery outcomes, infant health status, and any complications during pregnancy or birth must be reported on the maternal infant health reports.

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