Get Wic Bf Helpline Initial Intake Log. Initial Phone Log - Lp's

The WIC BF Helpline Initial Intake Log is a crucial document used to collect essential information about breastfeeding, maternal and baby health. This guide provides a step-by-step approach to assist users in effectively completing the form online.

Follow the steps to accurately complete the intake log.

1. Use the ‘Get Form’ button to access the intake log and open it in your preferred online editor.
2. Begin by entering the date and selecting the appropriate WIC agency or clinic. Ensure the language preference is recorded as well.
3. Complete the client ID number, the mother's date of birth, and her full name. This information is vital for client identification.
4. Fill in the baby's name, date of birth, current age, and birth weight. Accuracy is important for both maternal and infant records.
5. Provide the mother's phone number and any other contact numbers. This allows for effective follow-up communication.
6. Specify the expected due date and the baby's gestational age at birth. This information is useful for assessing developmental needs.
7. Indicate the type of birth (vaginal, emergency c-section, or planned c-section) to provide context regarding the birth experience.
8. Respond to the question about breastfeeding intentions by marking 'Yes' or 'No'. This helps tailor future support.
9. Document the place of birth and fill in the gravida and parity numbers along with the number of births the mother has experienced.
10. Record how long the mother breastfed and any smoking history relevant to maternal and infant health.
11. Complete the nursing history, noting any concerns such as painful nursing, latch difficulties, or perceived milk insufficiency.
12. Enter relevant maternal and baby health history, including any conditions or difficulties that could affect breastfeeding.
13. Indicate the frequency and duration of breastfeeding sessions, as well as any pumping activities and output.
14. Note the number of wet and soiled diapers per 24 hours as this helps assess the baby’s hydration and health.
15. List any topics discussed with the client, including any referrals made, followed by documentation of staff initials and how the referral was made.
16. Once all fields are complete, review the details for accuracy. Then save, download, print, or share the form as necessary.

Complete your documents online now to ensure timely support for clients.