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20182019 Intake DIAKON WILDERNESS Paperwork CENTERCenter Point Day Program11/30/23Student:___Date of Admission:___ItemNotesStudent PhotoDate:County AuthorizaonJPO & CYS referrals only90 Day AuthorizaonCYS Referrals OnlyIntake Memo Signed and dated by guardianChild RightsSigned and dated by studentChild RightsSigned and dated by guardianMedical HistorySigned and datedPhysical ExamDate:Sickle Cell Consent (if Applicable) Health Assessment:Signed
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How to fill out diakon - children youths
01
Gather necessary information about the child or youth, including personal details and circumstances.
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Fill in the child's full name, date of birth, and contact information.
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Provide details about the family situation, including guardianship and living arrangements.
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Non-profit organizations and social service agencies working with at-risk youth.
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What is diakon - children youths?
Diakon - children youths is a program or initiative designed to provide support and resources for children and youth, often focusing on their well-being and development.
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The information that must be reported includes demographic details, services provided, outcomes achieved, and any relevant assessments or evaluations regarding the children and youth involved.
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