Baby Clinic Questionnaire

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This form should not be used for urgent problems, it is to help with routine information gathering for your baby's 6-8 week check and we cannot guarantee when your answers will be reviewed by a doctor. If you have any urgent concerns or need to talk with a doctor before your appointment, please contact the surgery. 

In advance of your 8 week baby check, here is some information we require to help ensure your appointment runs smoothly and to allow us to focus on the baby’s needs during the current pandemic whilst restricting the amount of time within the practice to reduce the risk of potential exposure to the coronavirus for baby, parent/carer and our staff.

We appreciate you may not have all the information, but please answer as many questions as you are able to.

For further information on the purpose of the baby check and what to expect, please see the information in the link below:

We would also routinely give the first set of routine immunisations at this appointment, further information about this can be found below:

The following 4 questions are to assess the baby’s eligibility for the BCG vaccine.

Please follow the link below for more information on countries that have a higher risk of TB.

Your health visitor can help with many difficulties or concerns during the newborn period. Your doctor will assess what can be addressed within this routine check and book a follow up telephone consultation to discuss anything requiring more detailed assessment.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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