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* 1. What county do you live?

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* 2. Is there a particular medical provider that you use for children/youth placed in your care?

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* 3. When a child/youth is placed in your care, do you receive healthcare information for the child/youth (i.e. medications, major diagnoses, etc.)?

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* 4. Are you provided with a copy of the child/youth’s Health Passport by DHS?

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* 5. Is the child/youth’s Health Passport updated on a continuing basis?

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* 6. Are you involved in gathering previous medical history for the child?

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* 7. What improvements would you like to see in terms of MEDICAL treatment for out-of-home youth?

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* 8. What improvements would you like to see in terms of DENTAL treatment for out-of-home youth?

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* 9. What improvements would you like to see in terms of MENTAL HEALTH treatment for out-of-home youth?

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* 10. Any additional information you would like to add regarding children in foster care?

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