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LIC 702 Child's Preadmission Health History - Parent's Report - cdss ca 2026
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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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lic702
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by ECE CENTER □ Childs Preadmission Health History Parents Report (LIC 702). Retain. □ Physicians Report (Childs Pre-Admission Health Evaluation) (Form 701). Retain.Read more