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Child Fatality Summary Child's Name:County: Evaluate of Birth:Date of Death: December 2, 2019Report Number: 2019380884 Family Composition ChartNameAge at Time of Incident 11 days1. Relationship with
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How to fill out bereavement during childhood and

01
Acknowledge the loss and allow yourself to grieve.
02
Seek support from trusted adults, friends, or a therapist.
03
Talk about your feelings and memories of the loved one who passed away.
04
Create rituals or traditions to honor the memory of the person who died.
05
Take care of yourself by eating well, exercising, and getting enough rest.
06
Be patient with yourself and give yourself time to process the loss.

Who needs bereavement during childhood and?

01
Children who have experienced the death of a loved one may benefit from bereavement support during childhood.
02
This includes children who have lost a parent, sibling, grandparent, or close family member.
03
Children who are struggling with grief, sadness, or feelings of isolation may also benefit from bereavement support.
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Bereavement during childhood refers to the experience of losing a loved one at a young age.
Parents or legal guardians of a child who has experienced a loss.
The form should be completed with information about the deceased individual, the child's relationship with them, and the impact of the loss on the child.
The purpose is to provide support and resources for children who have experienced a loss, to help them cope and heal.
Details about the deceased person, the child's relationship with them, and any counseling or support services the child is receiving.
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