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HHS, OFFS, Children's Behavioral Health Services CHILDREN REHABILITATION ASSESSMENT TOOL (CHAT) For Child/Adolescent MR/DD/AUTISM Targeted Case Management Child's First Name: Middle Initial Last Name:

How to fill out child s name date

How to fill out child's name date:

1. Start by writing the child's full name in the designated space. Make sure to use the child's legal name and double-check for any spelling errors.
2. Next, write the date of birth in the format requested. This may include the month, day, and year or a specific format such as DD/MM/YYYY.
3. If there is a separate section for the child's age, calculate it based on the current date and the date of birth provided. Write the accurate age using the appropriate units (years, months, etc.).
4. If there are any additional instructions or requirements regarding the child's name and date, carefully read and follow them accordingly.

Who needs child's name date:

1. Schools and educational institutions often require a child's name and date for enrollment purposes.
2. Medical facilities and practitioners may need a child's name and date for medical records and appointments.
3. Government agencies and legal entities may request a child's name and date for official documents, registrations, or identification purposes.
4. Some applications or forms related to child care services or activities may also require the child's name and date for record-keeping and identification.

Remember to always provide accurate and up-to-date information when filling out the child's name and date to avoid any complications or misunderstandings.

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