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PEDIATRIC ACCIDENT FORM What is your children full name? Today's Date: What is your children date of birth? Was your child injured in an automobile accident? YES NO Was your child riding in a car
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What is pediatric accident form?
Pediatric accident form is a form used to report accidents involving children.
Who is required to file pediatric accident form?
Any individual or organization that has knowledge of an accident involving a child is required to file the pediatric accident form.
How to fill out pediatric accident form?
To fill out the pediatric accident form, one must provide details of the accident, including the date, time, location, and any injuries sustained by the child.
What is the purpose of pediatric accident form?
The purpose of the pediatric accident form is to document and report accidents involving children for legal and safety reasons.
What information must be reported on pediatric accident form?
The pediatric accident form must include details of the accident, such as the date, time, location, and injuries sustained by the child, as well as contact information for the individual filing the form.
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