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Child Safety Team Referral FormDate Fax this form to (828) 2131797 Patient Information Name DOB AgeAddress MAmerican Indian/Alaskan MultiracialRace:Ethnicity: Hispanic Is an interpreter needed? Parent/guardian:
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A child safety team is a group of professionals and stakeholders who work collaboratively to assess and ensure the safety and well-being of children in various environments, such as homes, schools, and communities.
Child safety teams are typically filed by organizations, schools, or child welfare agencies that are responsible for ensuring the safety and welfare of children.
To fill out a child safety team, you must collect relevant data about the child’s environment, incidents of concern, and required documentation, then complete the designated forms provided by the governing body or agency.
The purpose of a child safety team is to identify and address potential risks to children, promote safety measures, and implement interventions that support the health and development of children.
Information that must be reported on a child safety team includes details about the child’s demographics, identified risks, involved parties, safety assessments, and recommended actions.
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