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Child & Adolescent (under 18) Intake Information Please fill out for CLIENT informationLast Name: ___ First Name: ___ MI: ___Social Security Number: ___ ___ ___ Date of Birth: ___/___/___Gender: Male
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A child adolescent under 18 refers to individuals who are in the developmental stage between childhood and adulthood, typically aged 0 to 17 years old.
Parents or guardians are required to file on behalf of children or adolescents under 18.
To fill out the necessary documentation for a child adolescent under 18, gather required personal information, complete the forms accurately, and submit them as per the guidelines provided.
The purpose is to collect relevant information for assessment, eligibility for services, or compliance with legal requirements related to minors.
Information that must be reported includes personal identification details, demographics, guardianship information, and any relevant health or educational data.
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