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Enter your occupation or interest in high-risk infants:
If you are a parent of a high-risk child, please indicate the age group of your child: Still in a NICU or under 2 months corrected age Under 2 years (and no longer cared for in a NICU) 2-4 years 5-11 years 12-18 years 19-24 years Over 24 years Type any comments in the following box:
Still in a NICU or under 2 months corrected age Under 2 years (and no longer cared for in a NICU) 2-4 years 5-11 years 12-18 years 19-24 years Over 24 years
