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Pediatric Referral to Cleft Lip and Palate Clinic
Please complete all sections and fax to 780.407.6586
Include Newborn/Hospital Assessment.
CPC Phone: 780.407.6994
780.407.2647
Patient Physician/PediatricianPhone
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Who needs cleft lip and cleft?
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Individuals born with cleft lip and cleft palate may need specialized medical care and treatment to correct the condition.
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What is cleft lip and cleft?
Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly during pregnancy.
Who is required to file cleft lip and cleft?
Medical professionals and healthcare facilities are required to report cases of cleft lip and cleft palate.
How to fill out cleft lip and cleft?
The reporting of cleft lip and cleft palate is typically done through a standardized form provided by the health department.
What is the purpose of cleft lip and cleft?
The purpose of reporting cleft lip and cleft palate cases is to track and monitor the prevalence of these birth defects.
What information must be reported on cleft lip and cleft?
Information such as the baby's date of birth, type of cleft defect, and any additional medical information may need to be reported.
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