Lic 702: Fill out & sign online

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How to use or fill out LIC 702 Child's Preadmission Health History - Parent's Report - cdss ca with our platform

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Click ‘Get Form’ to open the LIC 702 Child's Preadmission Health History in the editor.
Begin by entering the child's name, sex, and birth date in the designated fields. This information is crucial for identifying your child.
Indicate whether the father or mother lives in the home with the child by selecting 'Yes' or 'No' for each parent.
Fill in the date of the last physical examination and provide names of both parents or domestic partners.
Complete developmental history sections, including when your child began talking, toilet training, and walking. Specify any serious illnesses or accidents.
Evaluate your child's health and personality by providing insights on their interactions with family and peers, as well as any special needs they may have.
Finally, review all entries for accuracy before signing and dating the form at the bottom.

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