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Physical Examination/Well Child Check Child's Name: ___Date of Examination: ___Date of Birth: ___ Hematocrit/ Hemoglobin Blood Lead Test TB Skin Testate:Results:Date:Results:Date Given:Results: Negative
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How to fill out what your childs blood

01
Ensure you have the necessary equipment for drawing blood such as gloves, alcohol wipes, bandages, and a sterile needle.
02
Clean the area on your child's finger where you will be drawing blood with an alcohol wipe.
03
Use a lancet to prick your child's finger and collect a small drop of blood.
04
Gently squeeze the finger to get an adequate amount of blood for the test.
05
Place the blood on the test strip or into the collection tube as directed by your healthcare provider.
06
Securely dispose of the needle and other used materials in a sharps container.

Who needs what your childs blood?

01
Individuals who require blood tests to monitor health conditions or diagnose illnesses.
02
Healthcare providers who need to analyze your child's blood for specific markers or levels.
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Blood type of your child.
Parents or legal guardians of the child.
You can fill out the blood type information on the necessary forms provided by medical professionals.
To have important medical information about the child in case of emergencies.
The child's blood type and any relevant medical conditions.
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