Welcome to the UCSF Medical and Neurodevelopment Online History Form. This form collects detailed information to allow us to get to know you and your child better. Although there are a lot of pages to this form, many have only one question. It generally takes 20-30minutes to complete this form. You can always save what you have done and come back later. We ask that you take the time to think through and answer each question to the best of your ability. You may want to pull out the baby book for milestones. If you don't know the answer, it is okay to skip any question and continue. If you have questions, please contact Brigid Kutner at 415-353-2859.

Thank you in advance for your time and participation!

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