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  • Josh

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    Jerly Baylon
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    This document contains a child folder checklist for Joshua Balmera, a 9-year-old boy who was surrendered and admitted to care on March 21, 2017. The checklist includes forms such as an intake form, admission slip, birth certificate, and progress reports that are being tracked with dates and remarks noting if items are processed, updated, or missing.

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    This document contains a child folder checklist for Joshua Balmera, a 9-year-old boy who was surrendered and admitted to care on March 21, 2017. The checklist includes forms such as an intake form, admission slip, birth certificate, and progress reports that are being tracked with dates and remarks noting if items are processed, updated, or missing.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    5 views2 pages

    Josh

    Uploaded by

    Jerly Baylon
    This document contains a child folder checklist for Joshua Balmera, a 9-year-old boy who was surrendered and admitted to care on March 21, 2017. The checklist includes forms such as an intake form, admission slip, birth certificate, and progress reports that are being tracked with dates and remarks noting if items are processed, updated, or missing.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Child Folder Checklist

    Name: Joshua Balmera Age: 9y/o


    Category: Surrendered
    Date Admitted: March 21, 2017

    Forms Date Remarks


    Pre- admission
    Conference
    Referral letter November 25, 2012 Processed
    Growth Chart
    Intake form March 21, 2017 Processed
    Admission slip January 21, 2014 Processed
    Medical certificate
    DVC (barangay N/A N/A N/A
    clearance, cert. of
    authority for a
    notarial act,
    residency cert of
    mother)
    Agreement for N/A N/A N/A
    Temporary shelter
    Whole body picture No date NOT UPDATED
    Health record
    Birth certificate November 3, 2021 4 copies
    (NSO) (PSA)

    Baptismal N/A N/A N/A


    Marriage certificate N/A N/A N/A
    of parents/ solo
    parent

    Psychological
    Evaluation
    Home visit report N/A N/A
    Death certificate of N/A N/A N/A
    parents
    Intervention form JULY 21, 2021 NOT UPDATED
    Social case study January 17, 2018
    report September 7, 2021
    October 2022 NOT UPDATED
    March 29, 2022

    Progress report January 2022 2 copies of monthly


    progress
    Record progress of
    school(card)
    Petition
    Blotter report/ for
    foundling
    CDCLAA
    Health and medical
    profile
    Matching and
    regional, Icab
    Adoption
    Case conference
    Closing summary
    Discharge slip

    Prepared by: JOCEL VERIDA- INTERN

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