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History
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Birth History
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Birth History
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Interval History
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Interval history
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Parental concerns
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Parental concerns comments
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Diet
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Breast/bottle
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Breastfeeding
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Breastfeeding
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Amount of pumped breast milk daily
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Bottle fed
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Bottlefed hours
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Formula type
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Diet comments
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Voiding/Stooling
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Voiding
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Stooling
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BM consistency
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Comments voiding/stooling
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Sleeping habits
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Sleeping habits
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Sleep comments
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Dental
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Teething
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Social
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Tobacco exposure
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Tobacco exposure comments
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Family Stressors
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Family stressor comments
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Safety
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Safety comments
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Child care
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Childcare comments
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Developmental Milestones
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Gross motor skills
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Gross motor skill delays
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Gross motor skills comments
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Fine motor skills
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Fine motor skill delays
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Fine motor skills comments
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Cognitive development
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Cognitive development delay
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Cognitive development comments
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Social/Emotional development
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Social/emotional developmental delays
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Social/Emotional development comments
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Communication milestones
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Communication delay
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Communication comments
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Physical Exam
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Head
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Head nl
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Head abnormal
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Head comments
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Ears
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Ear nl
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Ear abnl
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Comments
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Eyes
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Eye nl
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Eye abnl
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Eye images
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Comments
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Nose
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Nose nl
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Nose abnl
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Nose comments
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Oropharynx
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Oropharynx nl
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Oropharynx abnl
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Comments
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Cardiovascular
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CV nl
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Cardiovascular Abnormal
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Cardiovascular Comments
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Pulmonary
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Lung nl
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Lungs Abnormal
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Lungs Comments
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Abdominal
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Abd nl
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Abdomen Abnormal
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Abdomen Comments
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Abdomen free draw
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GU
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External genitalia nl
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External genitalia abnormal
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External genitalia comments
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MS
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MSK
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MSK abnormal findings
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Skin
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Skin nl
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Skin abnormal
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skin lesion
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skin lesion
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skin lesion
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skin lesion
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Skin lesion location
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Skin Comments
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Neurological
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Neuro nl
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Neuro abnl
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Neuro comments
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Lymphadenopathy
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Lymphadenopathy
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Lymphadenpathy abnl
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Comments
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Anticipatory Guidance
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Safety
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Safety topic discussed
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Nutrition/Physical Activity
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Nutrition topics
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Oral Health
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Oral health
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Child Development
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Infant development
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Family support
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Family adjustment topics
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Assessment and Plan
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Assessment:
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Further Assessment
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Plan
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