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Give nature and extent of the suspected abuse or neglect, including any information of previous abuse or neglect; family
composition and any other information which may be helpful in protecting the health and welfare of the child(ren). (BE SPECIFIC. ANSWER: WHO, WHAT, WHERE, WHEN, HOW OFTEN.)
Supply as much information as you know. No details are required, but any details you can provide help us to make a better decision regarding the outcome of this report.
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