Well Child Exam Infancy: 6 Months
6 MONTH VISIT Authority: P.A. 116 of 1973. Completion: Required . Consequences of non-completion: Non-compliance of licensing rules. Michigan Department of Health and Human Services Well Child Exam Date Patient Name DOB Sex Parent Name Allergies Current Medications Prenatal/Family History Weight Percentile Length Percentile HC Percentile Temp. Pulse Resp. BP (if risk) % % % Birth History Birth ... ................
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