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ADOLESCENT QUESTIONNAIRE Reston Town Center Pediatrics CONFIDENTIAL Please circle Yes or No after each question and hand this paper directly to your doctor. This form does not go into your official
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What is infant and child care?
Infant and child care refers to the services provided for the care and supervision of infants and children, including activities such as feeding, diapering, and playtime.
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Parents or legal guardians of infants and children are required to file infant and child care to ensure the well-being and safety of their children.
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To fill out infant and child care, parents or legal guardians need to provide information about the child's daily routine, dietary needs, medical history, and emergency contacts.
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The purpose of infant and child care is to provide a safe and nurturing environment for infants and children while their parents or legal guardians are at work or otherwise occupied.
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Information such as the child's name, age, medical conditions, allergies, special dietary needs, emergency contacts, and daily schedule must be reported on infant and child care forms.
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