特殊需要兒童情況反饋表?????
FEED-BACK INFORMATION OF SPECIAL NEED CHILD
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兒童姓名：(原中文名)
Child's Chinese Name
???????
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性別：
Sex
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生日：
DOB
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收養(yǎng)時健康狀況：
Health Status of Child When Joining
Family:
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醫(yī)療康復(fù)與撫育計劃施行情況：
Rehabilitation and Nurture
Process:
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目前生長發(fā)育情況:
Recent Developmental
Status:
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組織名稱:???????????????????????????????????填表日期
:
Name of
organization:??????????????????
Filling date:
(China-ccaa.org October 16,
2006)