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CANS-NY Rating Sheet Child/Youth s Name print Client ID Number CIN DOB Gender Primary Language OMH Program Is this the initial CANS-NY select one Yes No CANS-NY Administrator print Phone Agency CANS-NY Completion Date DOMAINS Child/Youth Strengths Domain Note 0 Strength Family Educational Problem Solving Vocational Cultural Identity N/A Talents/Interests Optimism Community Life Relationship Stability Spiritual/Religious Interpersonal Resiliency S.

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