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|Material Type:||Government publication, National government publication|
|All Authors / Contributors:||
Phyllis B Acosta; Elizabeth Wenz; United States. Department of Health, Education, and Welfare.
|Notes:||"Supported by grant no. MCH 000466, Office for Maternal and Child Health, Bureau of Community Health Services, Health Services Administration, Department of Health, Education, and Welfare"--Title page verso.
Distributed to depository libraries in microfiche.
|Description:||v, 30 pages : forms ; 23 cm.|
|Series Title:||DHEW publication, no. (HSA) 78-5209.|
|Responsibility:||Phyllis B. Acosta and Elizabeth Wenz.|