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Felicia Bighorn, LCSW DCS LLC Therapy for individuals, Couples, Families & Groups DEMOGRAPHIC INFORMATION Referred By:Date:Name: Address:City, State, iPhone Phone#:Cell Phone#:Date of Birth: Marital
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A 2 year old diagnosed refers to a medical diagnosis given to a child who is two years old.
Parents or guardians of the 2 year old child are usually required to file the diagnosis.
The diagnosis form needs to be filled out by the healthcare provider who conducted the examination of the 2 year old child.
The purpose of 2 year old diagnosis is to assess the health and developmental milestones of the child at the age of 2 years.
Information such as the child's weight, height, developmental milestones, and any medical concerns should be reported on the 2 year old diagnosis form.
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