Foster Care Manual: Medical, Dental, Counseling Log

This is a list of all doctor, dentist, therapist (etc) appointments. You fill this out and send it in every month.


Medical / Dental / Counseling Log


Client:_______________________________


Appointments:


Doctor / Dentist / Counselor Date Procedure(s) Performed

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

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