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Available Forms

BF 2-5 Day

Bright Futures Previsit Questionnaire 2 to 5 Day (First Week) Visit

For us to provide you and your baby with the best possible health care, we would like to know how things are going. Please answer all of the questions. Thank you.

What would you like to talk about today?

We are interested in answering your questions. Please check off the boxes for the topics you would like to discuss the most today.

Questions About Your Baby

Over the last two weeks, how often have you been bothered by any of the following problems?

Your Growing and Developing Baby

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