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COVERSHEET CHILD AND ADOLESCENT NEEDS AND STRENGTHS ASSESSMENT (CANS) New Hampshire Comprehensive Age 0 to TransitionAge First Name:Last Name:Date of Birth:Race/Ethnicity:Gender:Last 4 Digits of Social
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Gather all necessary information such as personal details, medical history, and family history of the child or adolescent.
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Who needs 1560 child and adolescent?

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Parents or legal guardians of children and adolescents who require medical attention or treatment
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The 1560 form for child and adolescent refers to a specific document used in healthcare settings to report information related to the health and welfare of children and adolescents.
Healthcare providers, guardians, or institutions responsible for the care of children and adolescents are typically required to file the 1560 form.
To fill out the 1560 form, gather required personal and health information about the child or adolescent, complete all sections of the form, and ensure that it is signed by the appropriate authority if required.
The purpose of the 1560 form is to collect and standardize essential information regarding the health and services received by children and adolescents for monitoring and program evaluation.
The information that must be reported includes personal identification details, health and medical history, services received, and any assessments or evaluations related to the child's development.
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