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Mental retardation / Phenylketonuria / Infant / Pediatrics / Postnatal / Newborn screening / Medicine / Health / Infancy


PEDIATRIC AGREEMENT FOR NEWBORN CARE _____________________________________________ Mother Name (PRINTED) I intend to deliver my baby in the hospital and/or use the “Express Care,” delivery option in the Family Suite.
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Document Date: 2011-06-15 18:15:05

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File Size: 48,56 KB

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MedicalCondition

PKU / Hepatitis B / /

MedicalTreatment

immunization / /

Organization

Holistic Birthing Center / /

Position

Physician / pediatrician / /

Product

Erythromycin / Vitamin K / /

ProvinceOrState

Ohio / /

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