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Cognitive Performance & Health 10111 East 21st Suite #315 Wichita, KS 67206 (316)2609005CHILD INFORMATION FORM Name Date of Birth Date of 1st Appointment Age Right or Left Handed Address Email Home
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Cognitive performance amp health refers to the mental abilities and overall well-being of an individual.
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Individuals or organizations that are responsible for monitoring and evaluating cognitive performance and health are required to file.
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Information such as cognitive assessment results, health indicators, and any intervention strategies must be reported.
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