Children's Consultation

IF your child’s hair shed suddenly in increasingly excessive amounts, can you recall any of the following 1-3 months prior to this problem developing

Please detail an average daily diet for your child

What Fluids do they consume on an average day, & how many of each? (please indicate which & indicate amount per day)

Physical Assessment (Please SELF-ASSESS your Child – as below: eyes nails tongue + skin/scalp if applicable)

Eyes

Nails

Tongue

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