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59 MDW Form 176 Screening Questionnaire Newborn-3 Month Visit
What Is 59 MDW Form 176?
This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on February 2, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of the MDW Form 176 Screening Questionnaire Newborn-3 Month Visit?
A: The purpose of the form is to screen newborns and infants up to 3 months old during their visit.
Q: What does the screening questionnaire entail?
A: The screening questionnaire includes a series of questions to assess the health and development of the newborn or infant.
Q: Who should fill out the MDW Form 176?
A: The healthcare provider or medical staff will fill out the form during the newborn or 3-month visit.
Q: What information is collected in the questionnaire?
A: The questionnaire collects information about the baby's growth, feeding habits, sleeping patterns, and general well-being.
Q: Why is this screening important?
A: This screening helps healthcare providers identify any potential health issues or developmental delays in newborns and infants.
Form Details:
- Released on February 2, 2017;
- The latest available edition released by the U.S. Air Force - 59th Medical Wing;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of 59 MDW Form 176 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - 59th Medical Wing.
Download 59 MDW Form 176 Screening Questionnaire Newborn-3 Month Visit
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