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1YOUNG ADULT CLIENT INTAKE FORM Lori OGE MA, LPC 7526 Big Bend Blvd., Webster Groves, MO 63119 / (314) 7409272 Please answer the following questions to the best of your abilities. These questions
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01
Gather as much information as possible about the child abuse incident, including the date, time, location, and any involved parties.
02
Contact your local child protective services or law enforcement agency. You can find their contact information online or in the phone book.
03
Provide a detailed account of the suspected child abuse, including all relevant information. Be as specific and factual as possible.
04
Follow the instructions given by the authorities. They may ask you to provide additional information or evidence.
05
If you believe the child is in immediate danger, don't hesitate to call emergency services (911) for immediate assistance.
06
Remember to protect your own safety and confidentiality while reporting child abuse. You can choose to remain anonymous if you wish.
07
Continue to monitor the situation and be available to provide any further information that may be needed during the investigation process.

Who needs report child abuse or?

01
Anyone who suspects or has witnessed child abuse needs to report it. This includes individuals like parents, caregivers, teachers, neighbors, healthcare professionals, and anyone else who interacts with children regularly or has reasonable cause to believe that child abuse is occurring. Reporting child abuse is a responsibility of the entire community to safeguard the well-being of children.
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A report of child abuse is a formal notification made to authorities regarding suspected or observed instances of child abuse or neglect.
Mandated reporters, which typically include teachers, social workers, medical professionals, and law enforcement officers, are required to file reports of child abuse.
To fill out a report of child abuse, gather all pertinent information about the child, the nature of the abuse, and the circumstances involved, then submit the report to the appropriate child protective services or law enforcement agency, following their specific guidelines.
The purpose of reporting child abuse is to ensure the safety and protection of children, to investigate allegations of abuse or neglect, and to provide necessary support and services to affected families.
Reports must typically include details such as the child’s name, age, and address, information about the suspected perpetrator, description of the suspected abuse or neglect, and any other relevant information that may help in the investigation.
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