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The Childhood Protection and Care Association enables parents to get in touch and ask for help directly online, without the hassle of administrative procedures. The following data sheet is a convenient way to do so, all that is required is having it filled out by the child's official medical practitioner.

 

Data sheet to be filled out by the medical doctor

child's name:
phone:
e-mail:
address:
detected illness:
physical condition:
current treatment:
seriousness degree:
required surgical procedure:
required technical means:
pre-operation medical advice:
name of hospital:
operation expected date:
required post operation procedure:
comments: