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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
Speech-Language Pathologist
B
Pediatric Dentist
C
Occupational Therapist
D
Behavioral Therapist / Child Psychologist
E
Developmental Pediatrician
F
Pediatric Primary Care Doctor
G
Vision & Hearing Clinic (Pediatric)
H
Pediatric Chiropractor
I
Pediatric Physical Therapist
How many years have you been practicing?
*
What inspired you to work in pediatric care?
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