Cso1079c 2025

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The document is a Child Certification Documentation Attachment for the Arizona Department of Child Safety's Adoption Subsidy Program. It requires completion by a child's medical, dental, or behavioral health professional to assess eligibility for the subsidy and document any pre-existing conditions. The form collects information on the child's diagnoses, severity levels, current treatments, and potential risks for disabilities or emotional disturbances.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (141 Votes)

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