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Child/Adolescent Assessment Up to age 164625 Beckley Rd. Suite 300 Battle Creek, Mi 49015 Office: (269) 9798119 Fax: (269) 9798124Name Age Sex M F Grade School Ethnicity/Race What event(s) or problems
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To fill out up to age 16, you will need to gather the following information:
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Full name of the child
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Date of birth of the child
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Gender of the child
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Home address of the child
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Parent or guardian's full name
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Parent or guardian's contact information
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Any medical conditions or allergies the child has
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Up to age 16 is needed by parents or legal guardians of children who are under the age of 16. It is necessary to have this information for various purposes such as enrollment in school, medical appointments, legal documentation, and emergency contacts. Properly filling out up to age 16 ensures that the child's information is readily available and can be accessed whenever needed.
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What is up to age 16?
Up to age 16 refers to individuals who are under the age of 16.
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Parents or legal guardians are required to file on behalf of individuals up to age 16.
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