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1Emanuel County Early Head Start 308 Tiger Trail Waynesboro, GA 30401 OFFICE# (478)2373434 FAX# (478)4191187VERIFICATION OF WELL BABY CHECK (26 MONTHS) Child's Name: ___ Staff Person Requesting Information:Birthdate:

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How to fill out verification of well baby

01

Verify the name, date of birth, and other identification details of the baby.

02

Record the date of the well baby visit and the healthcare provider's name.

03

Document the baby's weight, length, and head circumference measurements taken during the visit.

04

Record any vaccinations or screenings that were administered during the visit.

05

Include any developmental milestones or concerns noted by the healthcare provider.

06

Sign and date the verification form to confirm accuracy.

Who needs verification of well baby?

01

Parents or caregivers of newborn babies who have recently had a well baby visit with a healthcare provider.

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What is verification of well baby?

Verification of well baby is a form that documents the health and development milestones of a newborn or young child.

Who is required to file verification of well baby?

Parents or guardians of newborns or young children are required to file verification of well baby.

How to fill out verification of well baby?

Verification of well baby can be filled out by providing information about the child's growth, vaccinations, and overall health status.

What is the purpose of verification of well baby?

The purpose of verification of well baby is to ensure that newborns and young children are meeting their health and development milestones.

What information must be reported on verification of well baby?

Information such as height, weight, vaccinations received, and any health concerns must be reported on verification of well baby.

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