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The Transition House, Inc. CHILD/ADOLESCENT PERSONAL HISTORY (AGES 17 AND UNDER) TO BE COMPLETED BY PARENT OR GUARDIAN. THE INFORMATION YOU PROVIDE TO US WILL BE VERY HELPFUL IN TREATING YOUR CHILD.
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How to fill out childadolescent personal history

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How to fill out child/adolescent personal history:

01
Start by gathering all necessary information about the child or adolescent, including their full name, date of birth, and contact information.
02
Provide details about the child's medical history, including any known allergies, past illnesses or injuries, chronic conditions, and medication use.
03
Include information about the child's developmental milestones, such as when they started crawling, walking, talking, and any concerns or delays in their development.
04
Document the child's educational history, including information about current and previous schools attended, academic performance, and any special education services or accommodations they have received.
05
Include information about the child's family history, such as the health conditions of immediate family members, any history of mental health disorders, and any significant life events or family dynamics that may be relevant.
06
Provide details about the child's social and emotional functioning, including their relationships with family members, friends, and peers, any behavioral or emotional challenges they may have faced, and any interventions or therapies they have received.
07
Include information about the child's interests, hobbies, and extracurricular activities, as well as any talents or achievements they have.

Who needs child/adolescent personal history:

01
Parents or guardians of the child or adolescent may need to fill out a personal history form when seeking medical, psychological, or educational services for their child.
02
Healthcare professionals, such as doctors, nurses, or therapists, may require a child/adolescent personal history to gain a comprehensive understanding of the child's health and developmental background.
03
School administrators or teachers may also request a child/adolescent personal history to assess the child's educational needs and provide appropriate support or accommodations.
In summary, filling out a child/adolescent personal history involves documenting detailed information about the child's medical, developmental, educational, and social background. Parents or guardians, healthcare professionals, and educators may require this information to provide appropriate care, support, and interventions for the child.
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