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RUSH CHILD DEVELOPMENTAL PROGRAM CHILD INTAKE QUESTIONNAIRE Date:Parents Name:Child's Name:(Mr)Birth Date MF(Mrs/Ms)AddressCountyPhone:Work: Cell:Language (s) spoken at home:Referral InformationChilds
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The Rush Child Developmental Program is a program designed to support and enhance the development of children through various activities and interventions.
Parents, caregivers, or guardians of children enrolled in the program are required to file the Rush Child Developmental Program.
The Rush Child Developmental Program can be filled out by providing information about the child's development, progress, and any concerns or observations.
The purpose of the Rush Child Developmental Program is to monitor and track the development of children, identify any potential issues early on, and provide appropriate interventions and support.
Information such as the child's age, developmental milestones, social and emotional development, and any concerns or observations must be reported on the Rush Child Developmental Program.
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