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Click ‘Get Form’ to open the lic 702 in the editor.
Begin by entering the child's name, sex, and birth date in the designated fields. This information is crucial for identifying the child.
Fill in the names of both parents or domestic partners and indicate if they live with the child. This helps assess the child's home environment.
Provide details about any regular medical supervision and the date of the last physical examination. This section is vital for understanding the child's health history.
For infants and preschool-age children, complete the developmental history section, noting milestones such as walking and talking.
Check any past illnesses your child has experienced and specify dates. Include allergies that staff should be aware of for safety.
Complete daily routines, including wake-up times, bedtimes, and dietary patterns. This information aids caregivers in maintaining consistency.
Finally, evaluate your child's health and personality by answering questions regarding their interactions with others and any special needs they may have.
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LIC 702 (8/08) (CONFIDENTIAL). WORD USED FOR URINATION*. IS CHILD TOILET TRAINED?*. □ YES. □ NO. IS CHILD PRESENTLY UNDER A DOCTORS CARE? □ YES. □ NO. IF YESRead more
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