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Get Intake For Child Under 2 Years Form

Toileting problems Yes No If "Yes" Describe. UPDATES VERBAL COMMUNICATION Family speaks what language Specify. English Other If "Other" Specify: Age child began talking Child speaks in Words Words used to describe special needs Specify. UPDATES Page 2 of 4 Sentences COMFORTING Does child have a fussy time? Yes No If "Yes" Specify time. How is fussy time handled? Child likes to be: Held Sung to Rocked Read to Special things you say or do to comfort child. Other.

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