Well Child Exam Early Childhood: 4 Years - Michigan
City water Well water Bottled Water WIC Yes No ... preschool, head start, parenting groups, after school child care Next Well Check: 5 years of age Developmental Surveillance on page 2. ... WELL CHILD EXAM – EARLY CHILDHOOD: 4 Years Date Child’s Name DOB Name of person who accompanied child to appointment Parent Foster Parent Phone number ... ................
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