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GENERAL HEALTH APPRAISAL FORM PARENTPlease complete, date, and SIGN. Childs Name: ___ Birthdate: ___ Allergies: None OR List food/medication: ___ Diet: Breastfed Age appropriate SpecialDescribe: ___
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Breastfeeding a baby with breast milk.
The parent or guardian of the baby.
By feeding the baby directly from the breast or using expressed breast milk.
To provide essential nutrients and antibodies to the baby for optimal growth and development.
The duration and frequency of breastfeeding sessions.
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