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  • Developmental status
  • Severity of atypical development
  • Have teachers/health visitors ever expressed any concerns about his/her development? If yes, please specify
  • If other, please specify
  • Referred for further developmental assessment
  • On potential DMD modulating therapy at time of lab draw?
  • Specify therapy(ies):
  • Specify other therapies
  • Steroid Drug Name
  • Steroid Start Date
  • Age (in months) at beginning of steroid treatment
  • Medication dose
  • Corticosteroids
  • Medications
  • Cardiac rehabilitation treatment plan, Medication administered Set
  • Medication and supplement comments
  • Rehab services
  • Clinical trial protocol Trial name
  • Have you participated in any clinical trials or do you currently receive medications to treat symptoms related to DMD?
  • If yes, please specify
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