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Tell us about the pregnancy and the diagnosis

Answer each screening question. A blank answer comes back to you. An answer outside the screen ends the review on this site, without blame and without a promise. Do not include a medical narrative. This is not a doctor visit.

Step 1 of 4

Are you filing this claim on behalf of the child, or for yourself?

Do you have legal authority to sign for the child?
Who has legal custody of the child?

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