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Revised June 2013Child History Form (Ages 612)The data on this form is essential if we are to render the best professional care. We appreciate your cooperation in filling it out so that we will have
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Start by gathering all the necessary documents and information. This may include your identification, contact details, employment history, education background, and any relevant certifications or licenses.
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Personal information - power refers to sensitive data that an individual holds related to their private life, including financial, health, and identification details.
Individuals who hold positions of power or influence, such as government officials, executives, and public figures, are required to file personal information - power.
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