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How to use or fill out Form Page 1 of 11 OMB No 0960-0542 Function Report with DocHub
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Section 1 - Identifying Information. Enter the child's name, Social Security number, and date of birth. Then, provide your name, relationship to the child, and contact information.
- Proceed to Section 2 - Function Details. Answer questions regarding the child's vision and hearing abilities. If applicable, mark statements that are true about the child’s condition and provide explanations where necessary.
- Continue through Section 2 by indicating whether the child's activities or abilities are limited. Mark 'yes' or 'no' for each developmental milestone listed and provide additional explanations in the remarks section if needed.
- Once all sections are completed, review your entries for accuracy before saving or printing the form directly from our platform.
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