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Stairs County Human Services Administrative Services Division Licensing Unit ACKNOWLEDGEMENT Minnesota Statute 245A.144 and Minnesota Statute 245A.1445 require that license holders; and staff persons;
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What is shaken baby form?
The shaken baby form is a document used to report cases of shaken baby syndrome, which occurs when a baby is violently shaken, causing severe brain injury and often leading to long-term disabilities or death.
Who is required to file shaken baby form?
Any individual or entity who knows or suspects that a case of shaken baby syndrome has occurred is required to file the shaken baby form. This includes healthcare professionals, educators, caregivers, and other mandated reporters.
How to fill out shaken baby form?
To fill out the shaken baby form, you need to provide detailed information about the incident, including the date, time, location, the individuals involved, any witnesses, and a description of the child's injuries. The form may also require you to provide additional information about the circumstances surrounding the incident.
What is the purpose of shaken baby form?
The purpose of the shaken baby form is to ensure that cases of shaken baby syndrome are properly reported and investigated. By reporting these cases, appropriate actions can be taken to protect the child and hold the responsible individuals accountable for their actions.
What information must be reported on shaken baby form?
The shaken baby form typically requires the reporter to provide information about the child, such as their name, age, and any known medical conditions. Additionally, detailed information about the incident, including the identity of the person(s) responsible for the shaking, must be included in the report.
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