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KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENTCHILD PHYSICAL ABUSE FORENSIC EXAMINATION Medical Record NumberPATIENT INFORMATION PATIENT NAMED ATE OF BIRTHAGEGENDERMaleTransgenderFemaleAUTHORIZATION
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Download the ks-physical-abuse-form-finalv3 from the official website
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Who needs ks-physical-abuse-form-finalv3?
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Individuals who have experienced physical abuse and wish to report it
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Authorities who are investigating cases of physical abuse
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