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PO Box 5427 Sioux City, Iowa 51102 CHILD CLINICAL INTAKE ASSESSMENT DEAN & ASSOCIATES Patient Name: Phone: 7122746729 Fax: 7122746744 Age/DOB: Date: Address: On IEP?: Current Grade/School: Full name
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What is new child and adolescent?
New child and adolescent refers to the updated form or document for children and teenagers.
Who is required to file new child and adolescent?
Parents or legal guardians are required to file the new child and adolescent form.
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The new child and adolescent form can be filled out online or in person, providing details about the child or teenager.
What is the purpose of new child and adolescent?
The purpose of the new child and adolescent form is to update information and ensure the well-being of children and teenagers.
What information must be reported on new child and adolescent?
The new child and adolescent form requires information such as personal details, medical history, and emergency contacts.
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