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California Lutheran University Community Counseling ServicesChild/Adolescent Information Sheet THIS PORTION TO BE COMPLETED BY GUARDIAN(S)/PARENT(S) Date Name of Child/Adolescent Home Phone ()Other
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How to fill out childadolescent information sheet

01
Step 1: Start by gathering all the necessary information about the child/adolescent, such as their name, date of birth, and contact details.
02
Step 2: Fill out the demographic information section, including details about the child's gender, ethnic background, and primary language.
03
Step 3: Provide information about the child's medical history, including any specific diagnoses, allergies, or medications they are currently taking.
04
Step 4: Fill out the educational background section, including details about the child's current school, grade level, and any special education needs they may have.
05
Step 5: Provide information about the child's family background, including details about their parents/guardians, siblings, and household structure.
06
Step 6: Include any additional information or notes that may be relevant, such as the child's hobbies, interests, or specific concerns that need to be addressed.
07
Step 7: Review the completed information sheet for accuracy and completeness before submitting it.

Who needs childadolescent information sheet?

01
The child/adolescent information sheet is typically needed by healthcare providers, educators, counselors, or any other professionals working with children/adolescents.
02
Parents or legal guardians may also need to fill out this information sheet when enrolling their child in a new school or registering them for a healthcare service.
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The childadolescent information sheet is a document used to gather important details about a child or adolescent for record-keeping purposes.
Parents, guardians, or caregivers are typically required to file the childadolescent information sheet for the child or adolescent in their care.
The childadolescent information sheet can be filled out by providing the requested information such as personal details, medical history, and emergency contacts.
The purpose of the childadolescent information sheet is to ensure that essential information about the child or adolescent is readily available in case of emergencies or for reference purposes.
The childadolescent information sheet may require information such as name, date of birth, allergies, medications, emergency contacts, and any relevant medical conditions.
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