Minor’s Name:____________ Date of Birth:_______________ Custodial Parent/Social Worker:______________ Parent’s Address:____________________________________ Parent’s Phone:_________________ Date of Admission:_________________________ Date and time of notification of minor’s admission:__________________ Date and time of contact with minor:_______________ Assessment: Placement in API is appropriate. Placement in API is not appropriate. Appointment of attorney to represent minor is necessary and requested. Contact made with [...]
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