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Initial Screening and Referral Form - District 2 Public Health

Initial Screening and Referral Form - District 2 Public Health

Initial Screening and Referral Form - District 2 Public Health

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SECTION F: REFERRAL FOR LEVEL 2 RISK CONDITIONS (Circle all that apply)<br />

Conditions Identified in Newborn Period<br />

Serious Problems or Abnormalities<br />

765.0 Birthweight

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