Follow-Up Form


You can make a copy of this assessment if you have a Google account by signing in to Google > HBD Follow-Up Form >  more (3 dots on top right) > make a copy

Congratulations! Now you have your own copy of the form. This form belongs to you, and you can edit it per your needs. 

In order to access this form in the future, sign in to your Google account > Google Apps (3x3 grid of dots--looks like a waffle on top right) > forms (scroll down until you see the purple page icon) > Copy of HBD Follow-Up Form - website

You can freely use your copy of this form, but if you choose to use it, you are agreeing to: 
  • Refrain from selling this document in any form 
  • Keep the Happy Birth Day header for proper attribution. 
Here's an example of what your patients will see (before you edit it according to your needs):


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