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About My Child:

A one page summary for new doctors

A summary form to share with a new doctor, giving them all the important details they need to know about your child.

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Summary

This summary form is for you to share with a new doctor. This form gives them important details they need to know about your child, including:

  • Key information about childhood dementia
  • Your child's details
  • Current & past medications
  • Other specialists involved in their care
  • Current symptoms
  • Recent changes or concerns
This form is an editable pdf that you can print or share electronically. 

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