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Sample Entries
Example One
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Parent(s):
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John and Mary Smith
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Mailing Address:
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123 Kabuki Drive
Green River, Utah, USA
12345
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Phone:
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(123) 456-7890
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Fax:
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(123) 456-7891
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Email:
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jmsmith@kabuki.com
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Child's Name:
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Beth
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Birth Date:
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23 January 2000
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Sex:
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Female
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Major Health Issues:
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- coarctation of aorta (repaired)
- intellectual disability
- behavior difficulties
- hearing loss (wears bilateral hearing aids)
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Therapies/Programs:
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- speech, physio & occupational therapy
- used to receive signing classes (we mixed signing with verbal)
- integrated schooling
- music therapy
- therapeutic horseback riding
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Example Two
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Parent(s):
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Kevin and Debra Doe
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Mailing Address:
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123 Brunskill Drive
Birmingham, ENGLAND
AB1 2CD
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Phone:
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01234 567890
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Fax:
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n/a
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Email:
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kdoe@kabuki.uk
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Child's Name:
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Stephen
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Birth Date:
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18 December 1999
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Sex:
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Male
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Major Health Issues:
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- feeding difficulties, G-tube for supplemental feedings
- strabismus
- hypothyroidism
- hip displacement (corrected by surgery)
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Therapies/Programs:
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- physio, occupational, and sensory integration therapy
- massage therapy
- oral-motor therapy
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© 1998 - 2008 Kabuki Syndrome Network. Last updated 7 Dec 2004.
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