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75 Ferguson St. P. O Box 189, Cuisine ON, P0L 1Y0 Telephone: (705) 3360058 Fax: (705) 3360062 www.cyms.caReferral Form Family/Guardian is aware of this referral? YesNoChild is aware of this referral?
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Gather all necessary information about the child or youth for the milopemahtesewin form.
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Who needs child amp youth milopemahtesewin?

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Child and youth service providers who are seeking support and resources for Indigenous children and youth.
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Child amp youth milopemahtesewin is a report that outlines the well-being and progress of children and youth in a community.
Child and youth service providers, organizations, or agencies are required to file child amp youth milopemahtesewin.
Child amp youth milopemahtesewin can be filled out online or through a paper form provided by the relevant authorities.
The purpose of child amp youth milopemahtesewin is to ensure the well-being and development of children and youth are being monitored and addressed appropriately.
Information such as demographics, educational progress, health status, and social development of children and youth must be reported on child amp youth milopemahtesewin.
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