Appendix 7--Feed-back Information of Special Needs Child
GOV.cn Wednesday, August 31, 2005

特殊需要儿童情况反馈表      
FEED-BACK INFORMATION OF SPECIAL NEED CHILD         
  

儿童姓名:(原中文名)
Child's chinese Name
性别:
Sex
生日:
DOB
收养时健康状况:
Health Status of Child When Joining Family:

医疗康复与抚育计划施行情况:
Rehabilitation and Nurture Process:

 

 

 

 

 

目前生长发育情况:
Recent Developmental Status:








              

组织名称:                                            填表日期 :

Name of organiazation:                               Filling date:

 
Editor: Chen Feng
Source: China-ccaa.org