Patient Screening Form: Website

Thank you. We will not contact you again about this study.

Thank you. We will contact you again in 4 days to see how things are going. Thank you for your interest!

I/My partner/My spouse is pregnantI/My partner/My spouse has a newborn baby

Exclusive breastmilkExclusive formulaBreastmilk and formulaUndecided

UPMC Community Medicine / Pittsburgh OBGyn AssociatesArthur Signorella, MDSt. Clair Medical Group OB/GYNOther

Camellia City Obstetrics and GynecologyThe Woman's Clinic of MarreroOther

Women's Health Institute of South TexasOther

Women's Care ArizonaArizona Wellness Center For WomenPinnacle Women's Center / Desiree Brotsky, DOOther

McMinnville Women's Healthcare / Women's Health CareOther

Northwest Obstetrics and GynecologistWhole Woman's HealthOther

OB-Gyn Affiliates / Sky Divas Ob/GynOther

Metroplex Womens CareOther

OBGYN SpecialistsOther

Gulfcoast Institute of OB/GYNFlorida Woman CareOther

Women's Care FloridaOther

Newstart Family and Obstetrical CareOther

Teena Hughes, MDRoger Hughes, DOMichele Johnson-Towson, MD (Pediatric Place of Tampa)Other

1338 W. Fletcher Ave4444 E. Fletcher Ave

Thank you for your interest. Your submission will be reviewed and you will receive an email with determination of eligibility and further instructions.

Please enter your cell phone number and tap CONFIRM. A confirmation code will be texted to you immediately.

When you receive the confirmation code, enter the code and tap CONFIRM to verify your phone number.

By clicking SUBMIT, you agree to be contacted by Validcare or our designated Study Site (by phone or email) for the ONLY purpose of scheduling an in-person visit to further the eligibility determination process (if applicable).

*emails don't match, please re-enter

NoYes-No longer interestedYes-First Visit ScheduledOther

Infant Formula Growth Study

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