Chapter 1 – Understanding Race and Ethnicity

Ethnicity: Hispanic or Latino Nationality (specify): Not Hispanic or Latino Unable to Determine. B. CHILD’S PRENATAL EXPOSURE TO ALCOHOL OR OTHER CONTROLLED SUBSTANCES Type. Select One. Which. Trimester Frequency. Amount. How Taken. Comments (include source of information) 1. Alcohol (beer, wine, etc.) Yes No Unknown 2. ................
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