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Scan & Heal Pediatrician Intake Form
Welcome to Scan & Heal! Thank you for joining our Pediatric Development Directory. Please complete this short intake form so we can build your profile and help local families connect with you.
01. Professional Background
What is your specialty?
*
What is your specialty?
A
Pediatric Primary Care Doctor
B
Developmental Pediatrician
C
Pediatric ENT
D
Pediatric Allergy & Immunology
E
Pediatric Dermatologist
F
Pediatric Gastroenterologist
G
Pediatric Sports Medicine Physician
H
Pediatric Urgent Care
I
Lactation Consultant / Newborn Care
J
Pediatric Dentist
How many years have you been practicing?
*
What inspired you to work in pediatric care?
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