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If you give us an authorization you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. I acknowledge that I have read and accept the above office policies of Children s Dental Centre of Irving. We accept cash check ATM/debit cards and major credit cards VISA MasterCard Discover and American Express. I am responsible for making changes regarding the persons I am authorizing on this form. Authorize...
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How to fill out name child prefers to

01
Start by asking the child their preferred name.
02
Listen attentively to their response and make note of their preferred name.
03
Ensure that the child feels comfortable and supported in expressing their preferred name.
04
Use the preferred name when addressing the child in all relevant contexts, such as at school or at home.
05
Educate others involved in the child's life, such as teachers or family members, about the child's preferred name and the importance of using it.
06
Regularly check in with the child to confirm if their preferred name has changed or if they have any additional preferences.
07
Respect the child's autonomy and preferences regarding their name.

Who needs name child prefers to?

01
Parents or caregivers of a child who wants to be called by a different name than their given name.
02
Educators and school administrators who want to create an inclusive environment for students.
03
Healthcare providers who need to address a child by their preferred name during medical appointments.
04
Anyone who interacts with the child and wants to show respect and support for their identity.
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The name the child prefers to be called by.
Parents or legal guardians of the child.
Fill out the form with the name the child prefers to be called by.
To ensure that the child is referred to by the name they feel most comfortable with.
The preferred name of the child.
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