Shifa Clinic668 Marina DriveSuite A-5Charleston, South Carolina 29492
Weeks Premature (put "0" if not premature)
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I have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.
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