This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CDPH4472?
A: Form CDPH4472 is a 24-hour Perinatal Dietary Recall form used in California.
Q: What is the purpose of Form CDPH4472?
A: The purpose of Form CDPH4472 is to collect information about the dietary habits of pregnant and postpartum women to assess their nutritional intake.
Q: Who uses Form CDPH4472?
A: Form CDPH4472 is used by healthcare providers and researchers to gather data about the dietary intake of pregnant and postpartum women in California.
Q: What information does Form CDPH4472 collect?
A: Form CDPH4472 collects information about the types and amounts of food and beverages consumed by pregnant and postpartum women over a 24-hour period.
Q: Why is it important to collect dietary recall information?
A: Collecting dietary recall information helps identify any nutritional deficiencies or excesses in the diets of pregnant and postpartum women, which can impact their health and the health of their babies.
Q: Is Form CDPH4472 mandatory?
A: Form CDPH4472 is not mandatory, but it is commonly used by healthcare providers and research studies to gather data about perinatal dietary intake.
Form Details:
Download a printable version of Form CDPH4472 A by clicking the link below or browse more documents and templates provided by the California Department of Public Health.