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Mended Little HeartGuide

Introduction Contents Go To SECTION About My Child’s Heart About My Child’s Heart About My Child’s Heart Please review this information with your child’s cardiologist. My child’s diagnosis: _____________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Date of diagnosis: _______________________________________________________________________________ In my own words, this means: ______________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Surgeries my child will need/has had, if any: __________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Procedures my child will need/has had, if any: _________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ In my own words, this is what will be/was done during my child’s surgeries and/or procedures: __________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ I can find more reliable medical information about my child’s heart condition here: ___________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Table of Print a PDF of this list Please review this information with your child’s cardiologist. My child’s diagnosis: ____________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Date of diagnosis: _ _____________________________________________________________________________ In my own words, this means: _ __________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Surgeries my child will need/has had, if any: _______________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Procedures my child will need/has had, if any: _____________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ In my own words, this is what will be/was done during my child’s surgeries and/or procedures:_________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ I can find more reliable medical information about my child’s heart condition here: __________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 6


Mended Little HeartGuide
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