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Patient Name/Date of Birth: ___________________________________ Well Baby Check: 4 month visit questionnaire Interval History: Has your baby had any major illnesses, ER or Urgent Care trips since your last appointment i
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Document Date: 2018-04-17 00:07:56
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Patient Name/Date of Birth: ___________________________________ Well Baby Check: 4 month visit questionnaire Interval History: Has your baby had any major illnesses, ER or Urgent Care trips since your last appointment i