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MEDICAL HISTORY Child's Physician: Phone: Address: City:State:Zip:Does your child have any health problems? Has your child seen a physician in the past 12 months? Has your child been hospitalized
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How to fill out comm 164 child abuse
How to fill out comm 164 child abuse
01
Fill out the child's personal information such as name, date of birth, and address.
02
Provide details of the abuse or neglect, including dates and descriptions of incidents.
03
Include information about the alleged perpetrator of the abuse
04
Sign and date the form before submitting it.
Who needs comm 164 child abuse?
01
Individuals who are mandated reporters and suspect child abuse or neglect
02
Child protection services agencies
03
Law enforcement agencies
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What is comm 164 child abuse?
Comm 164 child abuse refers to the form used to report suspected child abuse or neglect to the appropriate authorities.
Who is required to file comm 164 child abuse?
Mandatory reporters such as teachers, healthcare professionals, and social workers are required to file comm 164 child abuse when they suspect abuse or neglect.
How to fill out comm 164 child abuse?
To fill out Comm 164 child abuse, mandatory reporters must provide detailed information about the suspected abuse or neglect, including the names of the child and alleged abuser, the nature of the abuse, and any other relevant details.
What is the purpose of comm 164 child abuse?
The purpose of Comm 164 child abuse is to protect children from harm by ensuring that suspected cases of abuse or neglect are reported and investigated promptly.
What information must be reported on comm 164 child abuse?
Information such as the names of the child and alleged abuser, the nature of the abuse, the child's current living situation, and any other relevant details must be reported on Comm 164 child abuse.
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