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Naming your baby and birth certificate information - page 8 / 8

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Facility Worksheet - Mother’s Medical

INSTRUCTIONS

 

   

   

  

     

                  

      

     

 

   

   

 

  

      

 

 

    

    

     

     

                 

                                                                                   

                                     

   

                   

                                                          

  •     

    º

                                                           

  

                    

      



      

            

               

     







         

   

            

 

           

                                       

                                          

           

  • 

    º       

  •      

    º     

                                        

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